Fan Yun, Chang Nai-Bai, Hu Yun-Jian, Ai Xiao-Man, Xu Shao-Quan, Li Jiang-Tao, Gu Xi-Chun
Department of Hematology, Beijing Hospital, Beijing 100730, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2008 Dec;16(6):1455-8.
The purpose of this study was to determine the changes of pathogens in hematological ward and susceptibility of patients received chemotherapy to antibiotics. The pathogens were taken from blood, urine and sputum of patients who accepted chemotherapy from years 2001 to 2005, then were isolated and identified. The susceptibility test was performed by disk diffusion method. The results showed that the total of 418 strains were detected. Gram-negative bacteria were the most common of nosocomial infection. Pseudomonas aeruginosa, Enterobacter cloacae, E. coli account for the most of Gram negative- bacteria infection and most resistant to broad-spectrum penicillin, Acinetobacter baumannii showed a trend of increase. The ratios of gram positive bacteria and fungi were increased slowly, mainly as Enterococcus and Candida. Enterococcus is the most common cause of Gram-positive bacterial infection. Vancomycin resistance did not occur. It is concluded that Gram-negative bacteria are main cause of nosocomial infection in patients with hematological malignancies. Gram positive bacteria and fungi had been more frequent. Strains resistant to antimicrobial agents increase.
本研究旨在确定血液科病房病原菌的变化情况以及接受化疗患者对抗生素的敏感性。病原菌取自2001年至2005年接受化疗患者的血液、尿液和痰液,随后进行分离和鉴定。采用纸片扩散法进行药敏试验。结果显示,共检测到418株菌株。革兰阴性菌是医院感染最常见的病原菌。铜绿假单胞菌、阴沟肠杆菌、大肠杆菌占革兰阴性菌感染的大部分,且对广谱青霉素耐药性最强,鲍曼不动杆菌呈上升趋势。革兰阳性菌和真菌的比例缓慢上升,主要为肠球菌和念珠菌。肠球菌是革兰阳性菌感染最常见的原因。未出现耐万古霉素情况。结论是革兰阴性菌是血液系统恶性肿瘤患者医院感染的主要原因。革兰阳性菌和真菌感染日益增多。抗菌药物耐药菌株增加。