J4 ›› 2015, Vol. 14 ›› Issue (2): 44-46.

• 临床医学 • 上一篇    下一篇

某二甲医院感染常见病原菌分布及耐药性分析

  

  1. 五华区人民医院,昆明650031
  • 收稿日期:2014-11-27 出版日期:2015-02-15 发布日期:2015-02-15
  • 作者简介:董立文,主要从事细菌的耐药性及耐药机制研究.

A Study on the Distribution and Resistance of Common Pathogen in a Second Grade Hospital

  1. Wuhua District People's Hospital, Kunming 650031, China
  • Received:2014-11-27 Online:2015-02-15 Published:2015-02-15

摘要:

目的:了解感染常见病原菌分布变迁和耐药趋势。方法:对2012年8月至2013年7月从医院感染患者标本中分离出的
主要致病菌,采用法国梅里埃VITEK-2 Compact全自动微生物鉴定仪鉴定,并进行药敏试验。结果:2012年8月至2013年7月
共分离出病原菌659株,其中革兰阴性菌为393株,占59.64%,革兰阳性菌为128株,占19.42%,真菌为138株,占20.94%,大肠
埃希菌对氨苄西林、庆大霉素、头孢吡肟、头孢曲松、氨曲南、复方新诺明、四环素,肺炎克雷伯菌对氨苄西林、哌拉西林、呋喃妥
因,铜绿假单胞菌对氨苄西林、四环素、头孢曲松、头孢唑啉,金黄色葡萄球菌对青霉素,表皮葡萄球菌对复方新诺明、青霉素等
呈耐药率逐渐增高趋势。结论:革兰阴性菌以大肠埃希菌为主、革兰阳性菌以表皮葡萄球菌为主,掌握细菌变迁动态,从而不
断进行耐药性监测,才能有效的指导临床合理应用抗菌药物。

关键词: 病原菌分布, 分离培养, 药敏试验

Abstract:

Objective: To investigate the tendency of bacterial distribution and drug resistance of common pathogen in this hospital.
Methods: The VITEK2 Compact system was used to identify main pathogenic bacteria isolated from specimens of infected patients
from August 2012 to July 2013 and the drug sensitivity test was done. Results: 659 strains of pathogenic bacteria were isolated,
including 393 strains of gram-negative bacteria, accounting for 59.64%, 128 strains of gram-positive bacteria, accounting for 19.42%
and 138 strains of fungi, accounting for 20.94%. The drug resistance rates of E.coli to ampicillin, gentamicin, cefepime, ceftriaxone,
aztreonam, selectrin and tetracycline, Klebsiella pneumoniae to ampicillin, piperacillin, and nitrofurantoin, Pseudominas aeruginosa to ampicillin, tetracycline, ceftriaxone and cefazolin, Staphylococcus aureus to penicillin, Staphylococcus epidermidis to selectrin and
penicillin etc, increased gradually. Conclusion: Gram-negative bacteria are mainly E.coli and Gram-positive bacteria are mainly
Staphylococcus epidermis. Keeping track of the changes of the bacteria and keeping their resistance under continuous surveillance are effective ways to give guidance to the rational use of clinical antibacterial drugs.

Key words: pathogen distribution, isolation and culture, drug sensitivity test

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