2007年我院细菌耐药性监测

Monitoring of antimicrobial resistance in our hospital in 2007

  • 摘要: 目的 了解2007年本院细菌分布及对抗菌药物耐药情况,为临床抗感染治疗提供依据。方法 药物敏感性试验采用琼脂纸片扩散法,耐药性分析采用WHONET5.4软件。结果 2007年我院共收集患者首次分离1502株细菌,革兰阴性菌(G-)887株,革兰阳性菌(G+)402株,真菌213株。铜绿假单胞菌、大肠埃希菌、表皮葡萄球菌、金黄色葡萄球菌、肺炎克雷伯菌、屎肠球菌、鲍曼不动杆菌是最常见菌,检出率分别为16.5%、13.5%、6.3%、5.8%、5.5%、4.4%、3.9%。MRSA和MRSE的比例分别为57.9%、86.4%,未发现对万古霉素和替考拉宁耐药的葡萄球菌。肠球菌对万古霉素耐药率为1.8%,对替考拉宁耐药率为3.6%。革兰阴性菌对亚胺培南的敏感性最好;在痰标本中铜绿假单胞菌检出率最高为24.0%,对头孢他啶敏感性最好;在血培养中大肠埃希菌检出率为21株,占血液标本阳性率19.3%。结论 加强细菌耐药性监测,推动临床抗菌药物的合理使用。

     

    Abstract: Objective To investigate the distribution of bacteria and monitoring of antimicrobial resistance in our hospital in 2007 in order to provide the scientific reference for clinical anti-infection therapy. Methods Antimicrobial susceptibility was tested with agar method,and the results of antimicrobial resistance monitoring were analyzed using the WHONET 5.4 software. Results A total of 1 502 bacterial strains were isolated in 2007. Of them,887 were gram-negative bacteria,402 were Gram-positive bacteria,and 213 were fungi. The sequence of common bacteria was pseudomonas aeruginosa(Pa), escherichia coli,staptococcus epidermidis,staptococcus aurcus,klebesiella pneumoniae,enterococcus faecium and Acinetobacter baumanniis,with a corresponding isolated rate of 16.5%,13.5%,6.3%,5.8%,5.5%,4.4%,and 3.9%,respectively. The proportion of MRSA and MRSE was 57.9% and 96.4%,respectively. Vancomycin and teicoplanin resistant staphlococci were not isolated. The resistance rate of vancomycin and teicoplanin to staptococci was 1.8% and 3.6%,respectively. Gram-negative bacteria had the best sensitivity to IPM. Pseudomonas aeruginosa isolated from sputum specimens was the highest with an isolated rate of 24.0% and CAZ had the best sensitivity to IPM. Twenty-one escherichia coli strains were isolated from blood with a positive rate of 19.3%. Conclusion Antimicrobial resistance supervision should be strengthened,which can promote the reasonable use of antimicrobial agents.

     

/

返回文章
返回