某院2012年多重耐药菌分布及耐药性
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胡美春

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R181.3+2

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广西崇左市2012科研立项项目(崇科政:1252403)


Distribution and antimicrobial resistance of multidrugresistant organisms in a hospital in 2012
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    摘要:

    目的调查某院2012年多重耐药菌(MDROs)的临床分布及耐药性,为防控MDROs感染提供理论依据。方法采用目标性监测方法对该院2012年1—12月检出的MDROs的分布及药敏结果进行分析。结果共检出MDROs 370株,其中革兰阴性(G-)杆菌341株(92.16%),革兰阳性(G+)球菌29株[7.84%,均为耐甲氧西林金黄色葡萄球菌(MRSA)];临床分离MDROs前5位的科室分别为重症监护室(79株)、神经外科(65株)、神经内科(40株)、普通外科(39株)、老年科(32株)。29株MRSA对复方磺胺甲口恶唑、替加环素、利福平等抗生素耐药率均>60%,无万古霉素耐药株;产超广谱β内酰胺酶的大肠埃希菌和肺炎克雷伯菌对亚胺培南的敏感率>75%,对头孢哌酮/舒巴坦、阿米卡星的敏感率在50%左右;多重耐药的铜绿假单胞菌和鲍曼不动杆菌对抗菌药物普遍不敏感,特别是多重耐药的鲍曼不动杆菌,几乎是泛耐药。结论该院分离的MDROs以G-菌为主,主要分离自收治重症及高龄患者的科室。需加强医院感染监测和采取有效的感染控制措施,以防MDROs播散。

    Abstract:

    ObjectiveTo investigate clinical distribution and antimicrobial resistance of multidrugresistant organisms(MDROs)in a hospital in 2012, and provide reference for the prevention of MDROs infection.MethodsDistribution and antimicrobial susceptibility testing results of MDROs isolated from patients in a hospital between January and December 2012 were analyzed by targeted monitoring method. ResultsA total of 370 MDROs strains were isolated, isolation rate of gramnegative bacilli and grampositive cocci was 92.16%(n=341) and 7.84%(n=29,all were methicillinresistant Staphylococcus aureus[MRSA])respectively; the top five departments with high MDROs isolation rates were intensive care unit(n=79 isolates), department of neurosurgery (n=65), neurology (n=40) general surgery(n=39), and geriatrics(n=32). Resistant rates of 29 MRSA strains to compound sulfamethoxazole,tigecycline,and rifampicin were all>60%, no vancomycinresistant strain was detected; resistant rates of extendedspectrum betalactamase (ESBLs)producing Escherichia coli and Klebsiella pneumoniae to imipenem were >75%,resistant rates to cefoperazone / sulbactam and amikacin were about 50%; multidrugresistant Pseudomonas aeruginosa and Acinetobacter baumannii were generally not sensitive to antimicrobial agents, multidrugresistant Acinetobacter baumannii were almost pandrugresistant strains.ConclusionThe major MDROs isolated from this hospital are gramnegative bacteria, strains are mainly from patients with severe diseases and elderly age. Monitor and control measures on healthcareassociated infection should be intensified to prevent the spread of MDROs.

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胡美春,王莉宁,梁小英.某院2012年多重耐药菌分布及耐药性[J]. 中国感染控制杂志,2014,13(2):89-92. DOI:10.3969/j. issn.1671-9638.2014.02.007.
HU Meichun, WANG Lining, LIANG Xiaoying. Distribution and antimicrobial resistance of multidrugresistant organisms in a hospital in 2012[J]. Chin J Infect Control, 2014,13(2):89-92. DOI:10.3969/j. issn.1671-9638.2014.02.007.

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  • 收稿日期:2013-09-20
  • 最后修改日期:2013-11-12
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  • 在线发布日期: 2014-02-28
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