Ngumi Z W W
Department of Surgery, Faculty of Medicine, College of Health Sciences, University of Nairobi at Kenyatta National Hospital, Nairobi, Kenya.
Dermatology. 2006;212 Suppl 1:4-7. doi: 10.1159/000089192.
The objective of this study was to identify the common bacteria isolated from patients, antibiotics used, sensitivity patterns, therapeutic procedures and cleaning protocols practised in Kenyatta National Hospital Intensive-Care Unit (ICU). Kenyatta National Hospital is a 1,800-bed referral and tertiary-care hospital which is also the Teaching University Hospital. The ICU has 20 beds. Two members of staff, a consultant and a senior nurse, did the study. Out of 195 patients admitted to the unit during the study period, 137 (70.3%) received antibiotics. The most frequently prescribed antibiotics included meropenem, ceftazidime, cefuroxime, piperacillin tazobactam, vancomycin, Augmentin and Flagyl. The most common bacteria isolated were Pseudomonas aeruginosa,Klebsiella, Citrobacter, Staphylococcus aureus, Staphylococcus pneumoniae, Acinetobactor and Escherichia coli isolated from tracheal aspirate, urine, blood and pus swabs.
本研究的目的是确定从肯尼亚国家医院重症监护病房（ICU）的患者中分离出的常见细菌、使用的抗生素、敏感性模式、治疗程序以及清洁方案。肯尼亚国家医院是一家拥有1800张床位的转诊和三级护理医院，也是教学大学医院。该ICU有20张床位。两名工作人员，一名顾问和一名高级护士，进行了这项研究。在研究期间入住该病房的195名患者中，137名（70.3%）接受了抗生素治疗。最常开具的抗生素包括美罗培南、头孢他啶、头孢呋辛、哌拉西林他唑巴坦、万古霉素、阿莫西林克拉维酸和甲硝唑。从气管吸出物、尿液、血液和脓液拭子中分离出的最常见细菌为铜绿假单胞菌、克雷伯菌、柠檬酸杆菌、金黄色葡萄球菌、肺炎链球菌、不动杆菌和大肠杆菌。
