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孟加拉国一家三级护理医院中血管内导管相关感染及分离细菌的抗菌药敏模式

Intravascular catheter related infections and antimicrobial susceptibility pattern of isolated bacteria in a tertiary care hospital of Bangladesh.

作者信息

Mansur F J, Barai L, Karim M M, Haq J A, Fatema K, Faruq M O

机构信息

Department of Microbiology, Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh, .

出版信息

Indian J Med Microbiol. 2014 Jan-Mar;32(1):68-71. doi: 10.4103/0255-0857.124321.

Abstract

The aim of this study was to evaluate the rate of bacterial colonisation and catheter related blood stream infections (CRBSI) together with the antibiotic susceptibility patterns in a tertiary care hospital. CRBSI was detected with semi-quantitative and quantitative methods. The antimicrobial susceptible patterns of the isolated organisms were performed by Kirby Bauer disk diffusion method. The rate of catheter colonisation and CRBSI were 42.1% and 14% (16.1/1000 catheter days) respectively. The most common causative pathogens were Pseudomonas sp. (23.7%), Acinetobacter sp. (18.4%), Staphylococcus aureus (13.2%) and Enterobacteriaceae (10.5%). The rate of isolation of methicillin resistance S. aureus, imipenem resistant Pseudomonas sp. and extended spectrum β lactamase producing Enterobacteriaceae were 60%, 44.0% and 100%. The result of this study would be useful for control and treatment of CRBSI.

摘要

本研究的目的是评估一家三级护理医院中的细菌定植率、导管相关血流感染(CRBSI)以及抗生素敏感性模式。采用半定量和定量方法检测CRBSI。通过 Kirby Bauer 纸片扩散法检测分离出的微生物的抗菌药敏模式。导管定植率和CRBSI分别为42.1%和14%(16.1/1000导管日)。最常见的致病病原体为假单胞菌属(23.7%)、不动杆菌属(18.4%)、金黄色葡萄球菌(13.2%)和肠杆菌科(10.5%)。耐甲氧西林金黄色葡萄球菌、耐亚胺培南假单胞菌属和产超广谱β-内酰胺酶肠杆菌科的分离率分别为60%、44.0%和100%。本研究结果将有助于CRBSI的控制和治疗。

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