Distribution and antimicrobial resistance of carbapenemresistant Klebsiella pneumoniae and Escherichia coli in 2010-2016
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R378

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    Abstract:

    ObjectiveTo understand the clinical distribution and antimicrobial resistance characteristics of clinically isolated carbapenemresistant Klebsiella pneumoniae (CRKP) and carbapenemresistant Escherichia coli (CREC). MethodsClinically isolated Klebsiella pneumoniae and Escherichia coli from a hospital between January 2010 and December 2016 were analyzed retrospectively, isolation of CRKP and CREC were conducted statistical analysis. ResultsFrom 2010 to 2016, a total of 310 carbapenemresistant Enterobacteriaceae (CRE) isolates (268 were CRKP strains and 42 were CREC strains) were collected, isolation rate of CRKP increased from 1.33% in 2010 to 12.70% in 2016, showing an increasing trend year by year (χ2=123.73, P< 0.01); isolation rate of CREC was relatively stable, were all about 1.00% from 2010 to 2016. Most specimens were respiratory tract specimens (45.49%) and from intensive care unit (31.93%). Antimicrobial susceptibility testing showed that except resistance rates of CRKP and CREC were slightly lower to amikacin (80.60% and 38.10% respectively),  resistance rates of CRKP to most commonly used antimicrobial agents, such as third generation cephalosporins, fourth generation cephalosporins, βlactamase/lactamase inhibitors, and quinolones were all>90%, resistance rates of CREC to above antimicrobial agents were all about 80%, resistance rate of nonCRE strains was lower than that of CRE strains (P<0.01). ConclusionDuring the past 7 years, detection rate of clinically isolated CRKP increased rapidly, were almost resistant to commonly used antimicrobial agents, which should be paid close attention.

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徐红云, 刘春林, 陈弟,等.2010—2016年耐碳青霉烯类肺炎克雷伯菌及大肠埃希菌临床分布及其耐药特征[J].中国感染控制杂志英文版,2018,17(8):688-692. DOI:10.3969/j. issn.1671-9638.2018.08.007.
XU Hongyun, LIU Chunlin, CHEN Di, et al. Distribution and antimicrobial resistance of carbapenemresistant Klebsiella pneumoniae and Escherichia coli in 2010-2016[J]. Chin J Infect Control, 2018,17(8):688-692. DOI:10.3969/j. issn.1671-9638.2018.08.007.

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  • Received:September 11,2017
  • Revised:October 29,2017
  • Adopted:
  • Online: August 28,2018
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