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分析一些常见病原体及其对抗生素的耐药性。

Analysis of some common pathogens and their drug resistance to antibiotics.

机构信息

Lidao Bao, Department of Pharmacy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot-010059, People's Republic of China.

Rui Peng, Department of Pharmacy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot-010059, People's Republic of China.

出版信息

Pak J Med Sci. 2013 Jan;29(1):135-9. doi: 10.12669/pjms.291.2744.

Abstract

OBJECTIVE

To investigate the common bacterial resistance of clinical isolates in our hospital in the second half of 2011.

METHODOLOGY

Pathogens isolated from clinical samples in the second half of 2011 were analyzed and categorized to perform susceptibility tests.

RESULTS

In the gram-negative bacteria, Enterobacteriaceae and non-fermenting gram-negative bacilli accounted for 55.89% and 34.51%. In the gram-positive bacteria, Staphylococcus aureus, Coagulase-negative staphylococci, Enterococcus, Strptococcus pneumonia accounted for 32.85%, 40.39%, 12.41% and 10.22%, respectively. Other species accounted for 4.14%. Klebsiella pneumonia and Pseudomonas aeruginosa were sensitive to cepoperazon, cefepime and imipenem. However,Acinetobacter baumannii was more sensitive to carbapenems antibiotics, which was followed by fourth generation cephalosporins. Klebsiella pneumoniae was extremely sensitive to amikacin, cefepime and imipenem, but was resistant to ampicillin. The detection rates of the broad-spectrum Escherichia coli, Pseudomonasaeruginosa and Klebsiella pneumoniae were 54.51%, 52.08% and 38.65%. The gram negative bacilli were the prevalent clinical pathogens in our hospital in the second half of 2011.

CONCLUSION

The drug resistance of pathogenic bacteria has increased significantly recently, thus the surveillance of antibacterial agents is necessary, and rational use of antibiotic will be urgently needed to reduce the production and dissemination of drug resistant strains.

摘要

目的

调查 2011 年下半年我院临床分离菌的常见细菌耐药情况。

方法

对 2011 年下半年临床标本分离的病原菌进行分析归类,并进行药敏试验。

结果

在革兰阴性菌中,肠杆菌科和非发酵革兰阴性杆菌分别占 55.89%和 34.51%;在革兰阳性菌中,金黄色葡萄球菌、凝固酶阴性葡萄球菌、肠球菌、肺炎链球菌分别占 32.85%、40.39%、12.41%和 10.22%,其他菌占 4.14%。肺炎克雷伯菌和铜绿假单胞菌对头孢哌酮、头孢吡肟和亚胺培南敏感,鲍曼不动杆菌对碳青霉烯类抗生素更敏感,其次是四代头孢菌素。肺炎克雷伯菌对阿米卡星、头孢吡肟和亚胺培南高度敏感,但对氨苄西林耐药。广谱大肠埃希菌、铜绿假单胞菌和肺炎克雷伯菌的检出率分别为 54.51%、52.08%和 38.65%。革兰阴性杆菌是我院 2011 年下半年临床主要的病原菌。

结论

近期病原菌耐药性显著增加,因此有必要对抗菌药物进行监测,急需合理使用抗生素,以减少耐药菌株的产生和传播。

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