Antimicrobial resistance of Enterobacteriacea and distribution characteristics of carbapenemaseresistant strains
Author:
Affiliation:

Clc Number:

R446.5

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Comments
    Abstract:

    ObjectiveTo understand  antimicrobial resistance of Enterobacteriaceae strains and distribution characteristics of carbapenemaseresistant 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 JanuaryDecember 2015 were performed pathogenic culture, isolation and identification. Antimicrobial susceptibility testing was performed with KirbyBauer 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 extendedspectrum βlactamases(ESBLs)producing strains;of 367 K. pneumoniae strains, 182(49.59%) were ESBLsproducing 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 multidrugresistant. ConclusionEnterobacteriaceae accounted for a higher proportion of pathogenic bacteria causing HAI, the detection rate of ESBLsproducing strains remains high, the isolation rate of carbapenemresistant Enterobacteriaceae is higher than that of last year, especially K. pneumoniae.

    Reference
    Related
Get Citation

郑恬,徐修礼,陈潇.肠杆菌科细菌耐药性及其耐碳青霉烯类菌株分布特点[J].中国感染控制杂志英文版,2017,16(2):121-125. DOI:10.3969/j. issn.1671-9638.2017.02.005.
ZHENG Tian, XU Xiuli, CHEN Xiao. Antimicrobial resistance of Enterobacteriacea and distribution characteristics of carbapenemaseresistant strains[J]. Chin J Infect Control, 2017,16(2):121-125. DOI:10.3969/j. issn.1671-9638.2017.02.005.

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:June 03,2016
  • Revised:August 29,2016
  • Adopted:
  • Online: February 28,2017
  • Published: