耐甲氧西林金黄色葡萄球菌的临床分布及耐药性
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徐红云

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R378.1+1

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Clinical distribution and drugresistance of methicillinresistant Staphylococcus aureus
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    摘要:

    目的 研究耐甲氧西林金黄色葡萄球菌(MRSA)的感染分布及耐药性特征,为临床合理使用抗菌药物提供参考。方法回顾性分析2008年5月—2010年5月分离自某院各类临床标本的756株葡萄球菌属细菌的资料。结果756株葡萄球菌属细菌中,金黄色葡萄球菌584株(77.25%),其中MRSA 394株(67.47%)。MRSA主要分离自呼吸道标本(248株,62.94%)和伤口标本(121株,30.71%);科室来源主要为重症监护室(53.30%)与外科(19.29%)。MRSA除对万古霉素、替考拉宁及利奈唑胺100%敏感外,对常用抗菌药物均存在较高的耐药性,并且万古霉素最低抑菌浓度(MIC)为2 μg/mL的菌株达5.33%。结论MRSA主要分离自重症监护室和外科患者的呼吸道及伤口,其感染及耐药性严重,呈多重耐药性;应加强对MRSA的检测及细菌耐药性的监测,合理使用抗菌药物。

    Abstract:

    ObjectiveTo study the distribution and drugresistance of methicillinresistant Staphylococcus aureus (MRSA), so as to provide reference for rational use of antimicrobial agents in clinic.MethodsData of 756 Staphylococcus isolates from clinical samples in a hospital from May 2008 to May 2010 were analyzed retrospectively.ResultsOf all Staphylococcus, 584 (77.25%) were Staphylococcus aureus, 394 (67.47%) of which were MRSA.MRSA mainly came from respiratory tract (248 isolates, 62.94%) and wound (121 isolates, 30.71%), and were mainly from intensive care unit (ICU) (53.30%) and surgery patients (19.29%). MRSA were all sensitive to vancomycin, teicoplain, and linezolid, but resistant to the other commonly used antimicrobial agents,minimum inhibitory concentration of 5.33% of MRSA to vancomycin was 2 μg /mL.ConclusionMRSA are mainly isolated from respiratory tract and wound of ICU and surgery patients, infection and drug resistance is serious, and has multiple drug resistance ; detection and drug resistant surveillance of MRSA should be strengthened.

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徐红云,刘春林,袁文丽,等.耐甲氧西林金黄色葡萄球菌的临床分布及耐药性[J]. 中国感染控制杂志,2012,11(1):52-54.
XU Hongyun, LIU Chunlin, YUAN Wenli, et al. Clinical distribution and drugresistance of methicillinresistant Staphylococcus aureus[J]. Chin J Infect Control, 2012,11(1):52-54.

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  • 收稿日期:2011-07-09
  • 最后修改日期:2011-09-22
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  • 在线发布日期: 2012-01-30
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