CAJ | 학술논문

目的分析医院血培养的主要病原菌分布及耐药情况,为临床选择合适抗菌药物提供依据. 方法对2013 年5 月——2014 年12 月送检的血培养标本在DL-Bt64全自动血培养仪中进行培养,培养阳性者进行常规的细菌分离、菌种鉴定及药敏试验,对结果进行统计分析. 结果血培养的阳性率为11.6%,革兰氏阳性菌53.3%,革兰氏阴性菌占42.9%,真菌占3.8%. 所检出病原菌主要分布在 ICU、感染科、呼吸科和肿瘤科等. 未发现对碳青霉烯类抗生素耐药的革兰氏阴性菌,常见革兰氏阳性菌对呋喃妥因、利奈唑胺高度敏感,未发现万古霉素耐药的葡萄球菌. 结论对血培养阳性分离菌株进行菌种鉴定和耐药分析,可为临床医师合理使用抗菌药物提供重要依据. 有效防止抗菌药物滥用,控制细菌耐药的增加.
목적 분석의원혈배양적주요병원균분포급내약정황,위림상선택합괄항균약물제공의거. 방법 대2013 년5 월——2014 년12 월송검적혈배양표본재DL-Bt64전자동혈배양의중진행배양,배양양성자진행상규적세균분리、균충감정급약민시험,대결과진행통계분석. 결과 혈배양적양성솔위11.6%,혁란씨양성균53.3%,혁란씨음성균점42.9%,진균점3.8%. 소검출병원균주요분포재 ICU、감염과、호흡과화종류과등. 미발현대탄청매희류항생소내약적혁란씨음성균,상견혁란씨양성균대부남타인、리내서알고도민감,미발현만고매소내약적포도구균. 결론 대혈배양양성분리균주진행균충감정화내약분석,가위림상의사합리사용항균약물제공중요의거. 유효방지항균약물람용,공제세균내약적증가.
Objective To Analysis the main pathogenic bacteria distribution and drug resistance of blood culture so as to provide a basis of appropriate antibiotics for clinicalMedication.Methods Blood culture samples were detected by DL-Bt64 automtic blood culture system during the period of May.2013 to Dec.2014,and the positive samples were carried on bacteria isolation,identification and drug sensitivity test.Results The positive rate of blood culture was 11.6%,53.3% gram positive bacteria,gram negative bacilli accounted for 42.9%,fungi accounted for 3.8%.The pathogenic bacteria were mainly distributed in ICU ,Department of infection,neo-natal and oncology.Gram negative bacteria of carbapenem resistant gram positive bacteria was not found,Nitrofurantoin and linezolid is highly sensitive to gram positive bacteria,no vancomycin resistant Staphylococcu was found.Conclusion The positive blood culture isolates strain identification and drug resistance analysis ,and can pro-vide an important basis for reasonable clinical use of antibacterial drugs.To effectively prevent the abuse of antibiotics,increase control of bacterial resistance.