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[我院烧伤病房近11年铜绿假单胞菌耐药性调查]

[Investigation on the drug resistance of Pseudomonas aeruginosa in our burn ward in the past 11 years].

作者信息

Dou Yi, Zhang Qin, Liao Zhen-jiang

机构信息

Department of Burns, Ruijing Hospital, The Second Shanghai Medical University, Shanghai 200025, P.R. China.

出版信息

Zhonghua Shao Shang Za Zhi. 2004 Feb;20(1):6-9.

Abstract

OBJECTIVE

To analyze the use of antibiotics and the drug resistance of Pseudomonas aeruginosa in the burn ward of our hospital in the past 11 years, so as to optimize the use of antibiotics in the future.

METHODS

Bacterial epidemiology during 1991-2001 in our burn ward was investigated. The change of the drug resistance of Pseudomonas aeruginosa was observed by defined daily dose (DDD) of antibiotics in adult patients and by the ranking of antibiotic administration days.

RESULTS

(1) Staphylococcus aureus (10.53%-34.40%) and Pseudomonas aeruginosa (75.66%-11.47%) were dominant in our burn ward. (2) Predominant antibiotics used included Penicillin, Amikacin, Vancomycin, Imipenem and Ceftazidime. (3) There was increasing drug resistance of Pseudomonas aeruginosa to the following antibiotics ranking in following order: Piperacillin (41.57%-100.00%), Imipenem (36.36%-98.46%), Ceftazidime (23.46%-97.85%), Amikacin (13.16%-100.00%) and ciprofloxacin (6.90%-100.00%).

CONCLUSION

There was increasing drug resistance of Pseudomonas aeruginosa to all antibiotics, which might be related to antibiotic abuse.

摘要

目的

分析我院烧伤病房近11年抗生素使用情况及铜绿假单胞菌耐药性,以便未来优化抗生素使用。

方法

调查我院烧伤病房1991 - 2001年细菌流行病学情况。通过成人患者抗生素限定日剂量(DDD)及抗生素使用天数排序观察铜绿假单胞菌耐药性变化。

结果

(1)我院烧伤病房主要病原菌为金黄色葡萄球菌(10.53% - 34.40%)和铜绿假单胞菌(75.66% - 11.47%)。(2)主要使用的抗生素包括青霉素、阿米卡星、万古霉素、亚胺培南和头孢他啶。(3)铜绿假单胞菌对以下抗生素的耐药性呈上升趋势,顺序如下:哌拉西林(41.57% - 100.00%)、亚胺培南(36.36% - 98.46%)、头孢他啶(23.46% - 97.85%)、阿米卡星(13.16% - 100.00%)和环丙沙星(6.90% - 100.00%)。

结论

铜绿假单胞菌对所有抗生素的耐药性均呈上升趋势,这可能与抗生素滥用有关。

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