某院2016年ICU与普通病房铜绿假单胞菌耐药性对比分析
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邹明祥

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R181.3+2

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湖南省自然科学基金(14JJ7003);湖南省发改委(湘发改高技[2012]1493号;湘发改投资[2014]658号)


Comparison of antimicrobial resistance of Pseudomonas aeruginosa from intensive care units and general wards in a hospital in 2016
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    摘要:

    目的了解某院2016年重症监护病房(ICU)与普通病房铜绿假单胞菌分布状况及其耐药性,为临床合理使用抗菌药物提供科学依据。方法采用VITEK 2 Compact 全自动微生物分析系统对该院2016年临床分离菌株进行鉴定及药敏试验, 比较ICU与普通病房铜绿假单胞菌耐药性的差异。结果ICU与普通病房送检标本均以痰为主,分别占78.7%、66.5%。ICU铜绿假单胞菌的检出率(11.7%)与普通病房(11.0%)比较,差异无统计学意义(P>0.05)。ICU检出的铜绿假单胞菌对氨曲南耐药率最高,达73.8% ,对哌拉西林/他唑巴坦、头孢哌酮/舒巴坦、头孢他啶、亚胺培南、美罗培南的耐药率也高达50%以上;普通病房检出的铜绿假单胞菌对氨曲南耐药率最高,达59.6%,其次是哌拉西林/他唑巴坦、亚胺培南,分别为48.0%、44.3%;ICU铜绿假单胞菌对被检测的12种抗菌药物耐药率均高于普通病房(P<0.05)。结论ICU铜绿假单胞菌的耐药率高于普通病房,应引起临床高度重视;临床上治疗其感染时,应根据药敏试验结果合理选用抗菌药物。

    Abstract:

    ObjectiveTo investigate the distribution and antimicrobial resistance of Pseudomonas aeruginosa (P. aeruginosa) from intensive care units(ICUs) and general wards of a hospital, and provide scientific basis for rational use of antimicrobial agents in clinic. MethodsIdentification and antimicrobial susceptibility testing of clinically isolated bacteria in this hospital in 2016 were performed by VITEK 2 Compact automatic microbial analysis system, difference in antimicrobial resistance of P. aeruginosa between ICUs and general wards was compared.ResultsThe tested specimens were mainly sputum in both ICUs and general wards, accounting for 78.7% and 66.5% respectively. There was no significant difference in the isolation rate of P. aeruginosa between ICUs and general wards (11.7% vs 11.0%, P>0.05). P. aeruginosa isolated from ICUs had the highest resistance rate to aztreonam (73.8%),resistance rates to piperacillin/tazobactam, cefoperazone/sulbactam, ceftazidime, imipenem, and meropenem were all up to more than 50%; P. aeruginosa detected in general wards had the highest resistance rate to aztreonam(59.6%), followed by piperacillin/tazobactam and imipenem, accounting for 48.0% and 44.3% respectively;resistance rates of P. aeruginosa isolated from ICUs to 12 kinds of antimicrobial agents were all higher than those of general wards(P<0.05). ConclusionResistance rate of P. aeruginosa from ICUs is higher than that in general wards, which should be paid attention, antimicrobial agents should be selected for clinical treatment of infection according to the results of antimicrobial susceptibility testing result.

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税剑, 邹明祥,李军,等.某院2016年ICU与普通病房铜绿假单胞菌耐药性对比分析[J]. 中国感染控制杂志,2018,17(1):6-9. DOI:10.3969/j. issn.1671-9638.2018.01.002.
SHUI Jian, ZOU Mingxiang, LI Jun, et al. Comparison of antimicrobial resistance of Pseudomonas aeruginosa from intensive care units and general wards in a hospital in 2016[J]. Chin J Infect Control, 2018,17(1):6-9. DOI:10.3969/j. issn.1671-9638.2018.01.002.

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  • 收稿日期:2017-05-20
  • 最后修改日期:2017-07-12
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  • 在线发布日期: 2017-12-29
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