Distribution and drug resistance of pathogens isolated from patients in intensive care units and nonintensive care units
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R969.3

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    Abstract:

    ObjectiveTo analyze the distribution and drug  resistance of pathogens isolated from patients in intensive care units( ICUs) and  nonICUs, so as to provide evidence for clinical antiinfective treatment. MethodsBacterial  strains from patients in clinical departments from May 2006 to May 2007 were isolated and identified,  pathogenic distribution and antimicrobial resistance  between ICUs and nonICUs were compared and analyzed.ResultsOne hundred and fifty strains were isolated from patients in ICUs, the constitutional ratio of nonfermentative bacteria was 40.67%(61/150); 495 strains were isolated from nonICUs, the constitutional ratio of nonfermentative bacteria  was 17.98%(89/495). The isolation rate of nonfermentative bacteria from ICUs was higher than that of nonICUs (χ2=33.20,P<0.01). The most common pathogens in ICUs were fungi(21.33%),Pseudomonas aeruginosa(17.33%) and Escherichia coli(12.67%); The most common pathogens in nonICU were fungi (20.61%),Escherichia coli (17.98%) and Staphylococcus aureus (10.30%). Antimicrobial resistance of Acinetobacter baumannii and Staphylococcus aureus isolated from ICUs were serious;  The resistance to the third generation cephalosporins for treating infection with gramnegative bacilli was quite different between ICUs and nonICUs.ConclusionThe isolation rate of nonfermentative bacteria in ICUs is high, and drug resistance is serious, which should be given strengthened management and surveillance.

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李艺,吴江萍,董玉梅,等. ICU与非ICU感染患者病原菌分布及耐药性对比分析[J].中国感染控制杂志英文版,2008,7(6):405-408.
LI Yi, WU Jiangping, DONG Yumei, et al. Distribution and drug resistance of pathogens isolated from patients in intensive care units and nonintensive care units[J]. Chin J Infect Control, 2008,7(6):405-408.

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History
  • Received:February 25,2008
  • Revised:May 09,2008
  • Adopted:
  • Online: November 30,2008
  • Published: