大理大学学报 ›› 2024, Vol. 9 ›› Issue (2): 76-80.

• 临床医学 • 上一篇    下一篇

某院血液肿瘤患者临床分离病原菌分布及耐药分析

张鼎才1,许 铠2,许 愉2,严锦方2,李天立2,曹 芳2*   

  1. (1.大理大学药学院,云南大理 671000; 2.云南省滇南中心医院药学部,云南个旧 661199)
  • 收稿日期:2023-03-02 修回日期:2023-03-29 出版日期:2024-02-15 发布日期:2024-02-24
  • 通讯作者: 曹芳,副主任药师,E-mail:125994241@qq.com。
  • 作者简介:张鼎才,硕士研究生,主要从事临床药学研究。

Distribution and Drug Resistance of Clinically Isolated Pathogenic Bacteria in Patients with Hematologic Tumors in a Hospital

Zhang Dingcai1, Xu Kai2, Xu Yu2, Yan Jinfang2, Li Tianli2, Cao Fang2*   

  1. (1.College of Pharmacy, Dali University, Dali, Yunnan 671000, China; 2.Department of Pharmacy, Southern Central Hospital of
    Yunnan Province, Gejiu, Yunnan 661199, China)
  • Received:2023-03-02 Revised:2023-03-29 Online:2024-02-15 Published:2024-02-24

摘要: 目的:分析某院血液肿瘤患者的临床分离病原菌分布及耐药情况,为临床经验性治疗该类患者合并感染提供用药指
导。方法:采用回顾性分析的方法,收集某院2021年7月至2022年6月间住院的血液肿瘤患者分离的病原菌分布及耐药情况,
并对结果展开分析。结果:共收集血液肿瘤患者86例,检出病原菌124株,其中革兰氏阴性菌72株(占58.06%),革兰氏阳性菌
49株(占39.52%),真菌3株(占2.42%),检出最多的病原菌为大肠埃希菌28株(占22.58%);药敏试验结果显示,大肠埃希菌对
碳青霉烯类抗生素的耐药率较低,金黄色葡萄球菌对青霉素和氨苄西林的耐药率较高。结论:该院2021年7月至2022年6月
间住院的血液肿瘤患者分离的病原菌以革兰氏阴性菌为主,其中大肠埃希菌占比最高,病原菌的耐药情况复杂、严峻,为保证
及时、准确进行抗感染治疗,提高临床疗效,临床应继续保持患者病原菌的药物敏感性检测。

关键词: 血液肿瘤, 病原菌, 耐药性

Abstract: Objective: To analyze the distribution and drug resistance of clinically isolated pathogenic bacteria in patients with
hematologic tumors in a hospital, and to provide medication guidance for empirical treatment of these patients with co-infection.
Methods: Retrospective analysis was used to collect the distribution and drug resistance of pathogenic bacteria isolated from
hospitalized patients with hematologic tumors in the hospital from July 2021 to June 2022, and the results were analyzed. Results: A
total of 86 patients with hematologic tumors were collected, and 124 strains of pathogenic bacteria were detected. Among them, 72
strains were Gram-negative bacteria (58.06%), 49 strains were Gram-positive bacteria(39.52%), and 3 strains were fungi(2.42%).
The most frequently isolated pathogenic bacteria were Escherichia coli with 28 strains(22.58%). The results of drug sensitivity showed
that E. coli had a low resistance rate to carbapenems, while Staphylococcus aureus had a high resistance rate to penicillin and
ampicillin. Conclusion: In the hospitalized patients with hematologic tumors from July 2021 to June 2022, Gram-negative bacteria
were the main isolated pathogenic bacteria, and E. coli accounted for the largest proportion. The drug resistance of pathogenic bacteria
was complex and severe. In order to ensure timely and accurate antimicrobial treatment and improve clinical efficacy, drug-sensitive
detection of pathogenic bacteria in patients should be maintained in clinical practice.

Key words: hematologic tumor, pathogenic bacteria, drug resistance

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