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[医院卫生信息系统。II. 菌种谱和耐药性呈现——在两个重症监护病房的应用实例]

[An information system for hospital hygiene. II. Germ spectrum and resistance representation--an example of use in 2 intensive care units].

作者信息

Martiny H, Xander L, Rüden H

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1985 Dec;182(1):78-88.

PMID:3939055
Abstract

By examples it is shown, that there are various possibilities to evaluate the 5380 microbiological findings of patients. 87 different species were isolated and out of these the most frequent species were determined (S. aureus, coagulase-negative staphylococci, D-streptococci, E. cloacae, E. coli, K. pneumoniae, P. mirabilis and P. aeruginosa). By different graphical manners of representation it is shown, how often (absolute and relative) this spectrum of germs occurred within selected periods. The most frequent sampling spots were bronchial and tracheal secretion with a part of 45% and belonging to these sampling spots the spectrum of germs is shown as an example. The recorded findings are appointed to 1020 patients. The possibility of control individual patients by data processing is demonstrated. As examples susceptibility patterns of three species (S. aureus, E. coli and P. aeruginosa) are shown by different manners of representation--spread of resistant strains to several antibiotics, percentage of resistant strains in a certain period and finally a combination of these manners.

摘要

通过实例表明,对患者的5380项微生物学检查结果有多种评估可能性。分离出了87种不同的菌种,并确定了其中最常见的菌种(金黄色葡萄球菌、凝固酶阴性葡萄球菌、D群链球菌、阴沟肠杆菌、大肠杆菌、肺炎克雷伯菌、奇异变形杆菌和铜绿假单胞菌)。通过不同的图形表示方式,展示了在选定时间段内这种菌群谱出现的频率(绝对频率和相对频率)。最常见的采样部位是支气管和气管分泌物,占比45%,并以这些采样部位为例展示了菌群谱。记录的检查结果涉及1020名患者。展示了通过数据处理对个体患者进行对照的可能性。作为示例,以不同的表示方式展示了三种菌种(金黄色葡萄球菌、大肠杆菌和铜绿假单胞菌)的药敏模式——耐药菌株对多种抗生素的传播情况、特定时间段内耐药菌株的百分比,最后是这些方式的组合。

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