丁毅伟, 郝秀红, 李艳君, 钱扬会, 赵强元. 我院2011-2013年细菌耐药性监测[J]. 解放军医学院学报, 2014, 35(11): 1122-1125,1129. DOI: 10.3969/j.issn.2095-5227.2014.11.012
引用本文: 丁毅伟, 郝秀红, 李艳君, 钱扬会, 赵强元. 我院2011-2013年细菌耐药性监测[J]. 解放军医学院学报, 2014, 35(11): 1122-1125,1129. DOI: 10.3969/j.issn.2095-5227.2014.11.012
DING Yi-wei, HAO Xiu-hong, LI Yan-jun, QIAN Yang-hui, ZHAO Qiang-yuan. Monitoring of bacterial drug resistance in our hospital from 2011 to 2013[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2014, 35(11): 1122-1125,1129. DOI: 10.3969/j.issn.2095-5227.2014.11.012
Citation: DING Yi-wei, HAO Xiu-hong, LI Yan-jun, QIAN Yang-hui, ZHAO Qiang-yuan. Monitoring of bacterial drug resistance in our hospital from 2011 to 2013[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2014, 35(11): 1122-1125,1129. DOI: 10.3969/j.issn.2095-5227.2014.11.012

我院2011-2013年细菌耐药性监测

Monitoring of bacterial drug resistance in our hospital from 2011 to 2013

  • 摘要: 目的 了解2011 - 2013年本院细菌分布及耐药情况,为临床抗感染治疗提供依据。 方法 对我院临床标本分离出的细菌和真菌的检出率、分布特点及药敏结果进行回顾性分析。 结果 2011 - 2013年我院收集患者分离菌中革兰阴性菌所占比例最高,分离率分别为55.0%、57.6%、59.8%;革兰阳性菌呈现平稳态势,分离率分别为23.3%、22.9%、22.1%;真菌分离率在逐年减少。标本来源中痰液、尿液和血液近3年分离率均占前3位。铜绿假单胞菌、大肠埃希菌、白色念珠菌、肺炎克雷伯菌、鲍曼不动杆菌是常见前5位分离菌。大肠埃希菌和肺炎克雷伯菌对亚胺培南和美洛培南敏感性高(均< 10%);鲍曼不动杆菌和铜绿假单胞菌均对多黏菌素B和阿米卡星敏感性高(均> 60%);未发现对万古霉素和替考拉宁耐药的金黄色葡萄球菌。呼吸道真菌分离率较高,以白色念珠菌为主;两性霉素B、氟胞嘧啶、沃尔康唑敏感性好(均> 90%)。 结论 3年中革兰阴性菌均占优势,病原菌主要来自痰液,亚胺培南和美洛培南对大肠埃希菌和肺炎克雷伯菌敏感性高;多黏菌素B和阿米卡星对鲍曼不动杆菌和铜绿假单胞菌敏感性高。加强细菌耐药性监测,提高合理使用抗菌药物水平,可减少医院感染交叉传播。

     

    Abstract: Objective To analyze the bacteria distribution and drug resistance in our hospital from 2011 to 2013, and provide basis for clinical anti-infection treatment. Methods The isolation rate, distribution and drug resistance of bacteria and fungi isolated in clinical specimens of our hospital were retrospectively analyzed. Results In the isolated bacteria collected from patients in our hospital during the past three years, gram-negative bacteria accounted for the highest isolation rates, which were 55.0%, 57.6% and 59.8%, respectively. Gram-positive bacteria showed stable isolation rates, which were 23.3%, 22.9% and 22.1%, respectively. Fungi's isolation rates reduced year by year. Sputum, urine and blood were the top three isolation rates in the specimen sources in the last three years. Pseudomonas aeruginosa, E. coli, candida albicans, klebsiella pneumoniae and acinetobacter baumannii were the most common seen isolated bacteria. E. coli and klebsiella pneumoniae were sensitive to imipenem and meropenem, and the resistance rate was less than 10%. Acinetobacter baumannii and pseudomonas aeruginosa were sensitive to polymyxin B and amikacin with the resistance rate of more than 60%. Staphylococcus aureus which had resistance to teicoplanin and vancomycin was not found. Respiratory fungi had high separation rate, which was mainly showed in candida albicans. The sensitivity of amphotericin B, fluorine cytosine and voriconazole were good, which was more than 90%. Conclusion Gram-negative bacteria are the dominant bacteria during the past three years, and the pathogen mainly comes from sputum. Imipenem and meropenem are sensitive to E. coli and klebsiella pneumonia bacteria. Polymyxin B and amikacin are sensitive to acinetobacter baumannii and pseudomonas aeruginosa. Hospital cross infection can be reduced by strengthening the monitoring of bacterial drug resistance and using antibacterial agents reasonably.

     

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