海南省两所医院洋葱伯克霍尔德菌感染临床特点及耐药性
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夏乾峰

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R378

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国家自然科学基金(81360240); 海南省科协青创项目(QCXM201701)


Infection characteristics and antimicrobial resistance of Burkholderia cepacia from two hospitals in Hainan Province
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    摘要:

    目的探讨海南省两所医院洋葱伯克霍尔德菌(Burkholderia cepacia,BC)的感染特点及耐药性,并比较其耐药性的差异。方法回顾性分析2012年1月—2016年12月该两所医院送检标本中分离出BC的59例感染住院患者病例,分析其感染的基本特征、药敏结果及菌株耐药性差异。结果BC在痰(55.94%)和重症监护病房(18.65%)的检出率最高。两所医院BC感染患者均以心血管系统疾病为基础疾病的患者最多,分别为11例和13例;其中一所医院的BC对头孢他啶、左氧氟沙星、复方磺胺甲口恶唑的敏感率较高,均>90%,而另一所医院的BC除对左氧氟沙星(耐药率34.62%,中介率15.38%)外的抗菌药物耐药率>50%,两所医院的BC对头孢他啶、左氧氟沙星、复方磺胺甲口恶唑的敏感率比较差异均有统计学意义(均P<0.05)。结论BC感染患者多数伴有基础疾病;不同医院的BC对抗菌药物耐药性不同。

    Abstract:

    ObjectiveTo explore infection characteristics and antimicrobial resistance of Burkholderia cepacia(BC) from two hospitals in Hainan Province, and compare their resistance to BC. Methods59 infected hospitalized patients who isolated BC in two hospitals between January 2012 and December 2016 were analyzed retrospectively, basic characteristics of infection, antimicrobial susceptibility results and difference in resistance of strains were analyzed. ResultsThe detection rates of BC from sputum specimen (55.94%) and intensive care unit (18.65%) were the highest. In both hospitals, most patients with BC infection were with underlying cardiovascular diseases, which were 11 cases and 13 cases respectively; BC from one hospital had higher susceptibility rates to ceftazidime, levofloxacin, and compound sulfamethoxazole, all were>90%, while BC from the other hospital had resistance rate of>50% except for levofloxacin (resistance rate 34.62%, intermediate resistance rate 15.38%), difference in susceptibility rates of BC to ceftazidime, levofloxacin, and compound sulfamethoxazole were all statistically significant between two hospitals(all P<0.05). ConclusionMost patients with BC infection are accompanied by underlying diseases; antimicrobial resistance of BC in different hospitals is different.

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董素芳,丁悦雯,符生苗,等.海南省两所医院洋葱伯克霍尔德菌感染临床特点及耐药性[J]. 中国感染控制杂志,2018,17(7):581-584. DOI:10.3969/j. issn.1671-9638.2018.07.006.
DONG Sufang, DING Yuewen, FU Shengmiao, et al. Infection characteristics and antimicrobial resistance of Burkholderia cepacia from two hospitals in Hainan Province[J]. Chin J Infect Control, 2018,17(7):581-584. DOI:10.3969/j. issn.1671-9638.2018.07.006.

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  • 收稿日期:2017-10-16
  • 最后修改日期:2017-12-03
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  • 在线发布日期: 2018-07-28
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