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一种新出现的病原体?

: An emerging pathogen?

作者信息

Singh Lavan, Cariappa M P, Kaur Mandeep

机构信息

Senior Adviser (Pathology), Military Hospital Meerut, UP, India.

Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India.

出版信息

Med J Armed Forces India. 2016 Dec;72(Suppl 1):S59-S61. doi: 10.1016/j.mjafi.2016.05.002. Epub 2016 Jun 14.

Abstract

is emerging as an important bacterial isolate causing hospital-acquired infection in adults and having multiple drug resistance to commonly used antibiotics. We analysed our data to observe the current pattern of drug resistance among isolated from various samples during the period from January 2012 to March 2014 at a tertiary care hospital. A total of 17,335 samples were processed at the hospital laboratory during this period. was isolated from 654 of these clinical samples. Out of these species, 631 (96.48%) were and 23 (3.52%) were . All the isolates were sensitive to colistin and tigecyclin. However, these isolates showed 58% resistance to imipenem and meropenem. The resistance to gentamicin, amikacin and ceftriaxone was higher at 72%. Resistance to ciprofloxacin and aztreonam was less (58%). All the samples were from patients admitted to ICUs of a tertiary care centre. The data from our study show an increasing burden of infection caused by this bacterium, which is now gaining access to ICUs. It is recommended that Hospital Infection Control Committees must keep a close watch on the antibiotic pattern of for better patient care.

摘要

正成为引起成人医院获得性感染的一种重要细菌分离株,并且对常用抗生素具有多重耐药性。我们分析了我们的数据,以观察2012年1月至2014年3月期间在一家三级护理医院从各种样本中分离出的[细菌名称未给出]的耐药现状。在此期间,医院实验室共处理了17335个样本。从其中654份临床样本中分离出了[细菌名称未给出]。在这些[细菌名称未给出]菌株中,631株(96.48%)为[具体类型未给出],23株(3.52%)为[具体类型未给出]。所有[细菌名称未给出]分离株对黏菌素和替加环素敏感。然而,这些分离株对亚胺培南和美罗培南显示出58%的耐药率。对庆大霉素、阿米卡星和头孢曲松的耐药率更高,为72%。对环丙沙星和氨曲南的耐药率较低(58%)。所有样本均来自一家三级护理中心重症监护病房的住院患者。我们研究的数据显示,这种细菌引起的感染负担在增加,现在它正进入重症监护病房。建议医院感染控制委员会必须密切关注[细菌名称未给出]的抗生素使用模式,以提供更好的患者护理。

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