155例血培养金黄色葡萄球菌耐药分析

Drug resistance of 115 Staphylococcus aureus strains isolated from blood culture

  • 摘要: 目的 了解2003-2011年血培养中金黄色葡萄球菌的耐药性变迁,为临床治疗提供依据。 方法 采用北京伯泰技术开发中心血培养瓶采样,BacT/ALERT 3D全自动血培养仪进行培养,VITEK微生物仪进行鉴定,BIOMIC仪进行药敏测试,WHONET5.4软件进行耐药性分析。 结果 2003年1月-2011年12月从临床送检的血培养标本分离出金葡菌155株,其中耐甲氧西林金黄色葡萄球菌(methicillin resistant staphylococcus aureus,MRSA)110株,MRSA在金葡菌中平均发生率为70.9%;9年间金葡菌对万古霉素、利奈唑胺未发现耐药株;对呋喃妥因、复方新诺明敏感性尚好,耐药率< 30%;对四环素、左氧氟沙星、克林霉素、环丙沙星、头孢唑啉、阿齐霉素、红霉素、青霉素耐药率均达50%以上,且表现为多药耐药,最高七重耐药(21.6%);MRSA最高以八重耐药(34.6%)。 结论 血培养中金葡菌存在严重耐药,MRSA多药耐药性高,应加强MRSA耐药性监测。

     

    Abstract: Objective To provide the evidence for treatment of Staphylococcus aureus infection by investigating its drug resistance in 2003-2011. Methods Blood samples of Staphylococcus aureus were taken using the blood culture bottle provided by Beijing Botai Technique Development Center and cultured in BacT/ALERT 3D automated blood culture system. The isolated bacteria were identified with the VITEK system, their drug sensitivity was tested by BIOMIC and their drug resistance was analyzed by WHONET 5.4 software. Results Of the 155 Staphylococcus aureus strains isolated from January 2003 to December 2011, 110 were methicillinresistant S.aureus (MRSA), accounting for 70.9%. No resistance of Staphylococcus aureus to LNZ and VAN was found. The resistance of Staphylococcus aureus was below 30% to NIT and SXT, above 50% to TCY, LVX, CLX, CIP, CZO, AZM, ERY and PEN, 21.6% to 7 commonly used antibiotics and 34.6% to 8 commonly used antibiotics, respectively. Conclusion Staphylococcus aureus isolated from blood culture is highly resistant to drugs. The MRSA is resistant to multiple drugs and its drug resistance monitoring should be strengthened.

     

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