Abstract:ObjectiveTo understand antimicrobial resistance of Enterobacteriaceae strains and distribution characteristics of carbapenemaseresistant Enterobacteriaceae(CRE) in Xijing Hospital in 2015, so as to provide basis for rational use of antimicrobial agents in clinic. MethodsSpecimens from infected inpatients and outpatients in Xijing Hospital in JanuaryDecember 2015 were performed pathogenic culture, isolation and identification. Antimicrobial susceptibility testing was performed with KirbyBauer method, carbapenemase confirmatory test was conducted with modified Hodge test, antimicrobial resistance of Enterobacteriaceae was statistically analyzed. ResultsA total of 4 166 pathogenic strains were isolated in 2015, 1 554 (37.30%) of which were Enterobacteriaceae strains, the top 5 isolated pathogens were Escherichia coli(E. coli), Klebsiella pneumoniae(K. pneumoniae), Enterobacter cloacae (E. cloacae), Proteus mirabilis, and Enterobacter aerogenes. Of 787 E. coli strains, 581(73.82%) were extendedspectrum βlactamases(ESBLs)producing strains;of 367 K. pneumoniae strains, 182(49.59%) were ESBLsproducing strains. E. coli and K. pneumoniae had the highest resistance rates to cefazolin, which were 93.14% and 78.48% respectively. A total of 81 (5.21%) CRE were detected, K. pneumoniae, E. cloacae, and E. coli were 41, 27, and 13 strains respectively; strains were mainly isolated from patients in departments of neurosurgery(n=42), gastroenterology(n=9), and neurology(n=8) . 1.02%(8/787) of E. coli and 3.27% (12/367) of K. pneumoniae were multidrugresistant. ConclusionEnterobacteriaceae accounted for a higher proportion of pathogenic bacteria causing HAI, the detection rate of ESBLsproducing strains remains high, the isolation rate of carbapenemresistant Enterobacteriaceae is higher than that of last year, especially K. pneumoniae.