产ESBLs大肠埃希菌的检出与耐药趋势分析
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张芳

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R378.2+1

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Detection and drugresistance tendency of  extendedspectrum βlactamaseproducing Escherichia coli
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    摘要:

    目的了解产超广谱β内酰胺酶(ESBLs)大肠埃希菌的检出及其耐药变化,为临床合理使用抗菌药物提供参考。方法收集某院2006年1—12月间临床标本分离的大肠埃希菌,对其产ESBLs株及耐药情况与2002年进行比较。结果2006年分离的大肠埃希菌中产ESBLs株占65.54%(175/267),与2002年的47.92%(46/96)比较,显著增加(χ2=9.21,P<0.05)。产ESBLs大肠埃希菌对氨曲南的敏感率2006年为24.00%,较2002年的52.17%显著下降(χ2=13.80,P<0.05);对其他抗菌药物的敏感率差异无统计学意义,亚胺培南仍对产ESBLs大肠埃希菌有良好的抗菌活性。结论产ESBLs大肠埃希菌的检出有增加趋势,且耐药率高,应引起临床重视。

    Abstract:

    ObjectiveTo investigate the detection and change in drugresistance of  extendedspectrum βlactamase (ESBLs)producing Escherichia coli, so as to provide reference for the rational use of antimicrobial agents in clinic.MethodsEscherichia coli isolated from clinic in a hospital between January~December, 2006 were collected, the detection of ESBLs  and drugresistance were compared with those of 2002. ResultsThe rate of ESBLsproducing Escherichia coli isolated in 2006 was 65.54% (175/267), which increased obviously compared with 47.92% (46/96) isolated  in 2002 (χ2=9.21, P<0.05). The susceptibility rate of ESBLsproducing Escherichia coli to imipenem in 2006 was 24.00%, which decreased obviously compared with 52.17% in 2002 (χ2=13.80, P<0.05); The susceptibility rates to the other antimicrobial agents had no statistic significance, imipenem still had ideal activity against ESBLsproducing Escherichia coli. ConclusionThere is increasing tendency in the detection of ESBLsproducing Escherichia coli, and drugresistance is high, which should be paid attention.

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张芳,李玉敏,崔琴,等.产ESBLs大肠埃希菌的检出与耐药趋势分析[J]. 中国感染控制杂志,2009,8(3):195-197.
ZHANG Fang, LI Yumin, CUI Qin, et al. Detection and drugresistance tendency of  extendedspectrum βlactamaseproducing Escherichia coli[J]. Chin J Infect Control, 2009,8(3):195-197.

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  • 收稿日期:2007-11-22
  • 最后修改日期:2008-01-11
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  • 在线发布日期: 2009-05-30
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