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奎达一家三级护理医院外科病房分离菌株的频率及抗菌谱

Frequency and Antibiogram of Isolates from Surgical Units of a Tertiary Care Hospital in Quetta.

作者信息

Gill Maria Mushtaq, Khan Muhammad Junaid, Nawaz Muhammad Asif, Janjua Sarfraz Khan

机构信息

Combined Military Hospital, Quetta.

出版信息

J Coll Physicians Surg Pak. 2017 Mar;27(3):135-139.

Abstract

OBJECTIVE

To determine the frequency and antibiogram of the isolates from infected patients in surgical units of a tertiary care hospital.

STUDY DESIGN

Cross-sectional, descriptive study.

PLACE AND DURATION OF STUDY

Department of Microbiology, Combined Military Hospital, Quetta, from March to October 2015.

METHODOLOGY

Clinical samples from the surgical units received in Department of Microbiology for culture and sensitivity were analyzed by Gram stain, culture and biochemical tests for identification of the isolates; and the antibiotic susceptibility was determined by modified Kirby Bauer disc diffusion method. Data was analyzed by Statistical Package for Social Sciences (SPSS) version 19.

RESULTS

The commonest isolate was Acinetobacter baumannii (22%) followed by Escherichia coli (20%), Pseudomonas spp. (15%) and Methicillin-resistant Staphylococcus aureus (MRSA) (11%). Acinetobacter baumannii showed highest susceptibility to doxycycline (41%), Enterobacteriaceae to meropenem (96%), Pseudomonas spp. to polymyxin-B (100%) and Gram positive bacteria to linezolid (100%). Seventy-two percent of the isolates were found to be multi-drug resistant.

CONCLUSION

There was a high infection rate in surgical patients with Acinetobacter baumannii, Eschericia coli, Pseudomonas spp. and MRSA being the commonest isolates. Acinetobacter baumannii showed highest susceptibility to doxycycline, Enetrobacteriaceae to meropenem, Pseudomonas spp. to polymyxin-B and Gram positive bacteria to linezolid.

摘要

目的

确定一家三级护理医院外科病房感染患者分离菌株的频率及抗菌谱。

研究设计

横断面描述性研究。

研究地点及时间

2015年3月至10月,奎达联合军事医院微生物科。

方法

对微生物科接收的来自外科病房用于培养及药敏试验的临床样本进行革兰氏染色、培养及生化试验,以鉴定分离菌株;采用改良 Kirby Bauer 纸片扩散法测定抗生素敏感性。数据采用社会科学统计软件包(SPSS)19版进行分析。

结果

最常见的分离菌株是鲍曼不动杆菌(22%),其次是大肠杆菌(20%)、假单胞菌属(15%)和耐甲氧西林金黄色葡萄球菌(MRSA)(11%)。鲍曼不动杆菌对强力霉素的敏感性最高(41%),肠杆菌科对美罗培南的敏感性最高(96%),假单胞菌属对多粘菌素B的敏感性最高(100%),革兰氏阳性菌对利奈唑胺的敏感性最高(100%)。发现72%的分离菌株具有多重耐药性。

结论

外科患者感染率较高,鲍曼不动杆菌、大肠杆菌、假单胞菌属和MRSA是最常见的分离菌株。鲍曼不动杆菌对强力霉素的敏感性最高,肠杆菌科对美罗培南的敏感性最高,假单胞菌属对多粘菌素B的敏感性最高,革兰氏阳性菌对利奈唑胺的敏感性最高。

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