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| 重症监护病房病原菌分布及耐药性分析 | |
| 引用本文： | 汪艳,董志扬,梁磊,于志军,孙悦波.重症监护病房病原菌分布及耐药性分析[J].中华医院感染学杂志,2010,20(4). |
| 作者姓名： | 汪艳 董志扬 梁磊 于志军 孙悦波 |
| 作者单位： | 1. 大连市友谊医院检验科,辽宁,大连,116001 2. 大连市友谊医院ICU,辽宁,大连,116001 3. 大连市第五人民医院骨外科,辽宁,大连,116001 |
| 摘 要： | 目的 及时了解和动态掌握重症监护病房(ICU)病原菌分布及耐药趋势,指导临床合理使用抗菌药物.方法 对2008年由ICU分离出的807株病原菌进行鉴定和药敏试验,采用WHONET 5.4软件进行统计分析.结果 所分离的病原菌以革兰阴性菌为主占77.2%,革兰阳性菌为15.7%,其他真菌等为7.1%;革兰阳性菌中非发酵条件致病菌已经成为ICU的主要病原菌;大肠埃希菌、肺炎克雷伯菌的产超广谱β-内酰胺酶的检出率分别为33.9%和25.9%;革兰阳性菌中以金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属为主,耐甲氧西林金黄色葡萄球菌(MRSA)、耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)的检出率分别为56.9%和70.7%,尚未发现耐万古霉素葡萄球菌和肠球菌属.结论 加强ICU感染管理以及病原菌耐药情况的监测,合理使用抗菌药物,降低临床感染的发生率和病原菌耐药率. |
| 关 键 词： | 重症监护病房 病原菌 耐药性 |
Bacterial Distribution and Analysis of Drug Resistance in Intensive Care Unit |
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| WANG Yan,DONG Zhi-yang,LIANG Lei,YU Zhi-jun,SUN Yue-bo.Bacterial Distribution and Analysis of Drug Resistance in Intensive Care Unit[J].Chinese Journal of Nosocomiology,2010,20(4). | |
| Authors: | WANG Yan DONG Zhi-yang LIANG Lei YU Zhi-jun SUN Yue-bo |
| Affiliation: | WANG Yan,DONG Zhi-yang,LIANG Lei,YU Zhi-jun,SUN Yue-bo(Dalian Friendship Hospital,Dalian,Liaoning 116001,China) |
| Abstract: | OBJECTIVE To investigate the bacterial distribution and resistance in ICU infections,and provide basis for clinicals to select antibiotics rationally.METHODS A total of 807 bacteria strains isolated from ICU were identified and tested the drug sensitivity.The results were analyzed using WHONET 5.4 software.RESULTS Of the 807 bacteria strains isolated,77.2% were Gram-negative bacteria and 15.7% were Gram-positive bacteria.Non-fermentatives were the main species in Gram-negative bacteria.ESBLs positive rates ... |
| Keywords: | ICU Bacteria Drug resistance |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |
