摘要
目的 调查滨州市人民医院重症监护室的感染细菌分布及其耐药性变化状况,为有效控制感染、合理应用抗菌药物提供参考依据.方法 搜集滨州市人民医院2011年11月至2012年10月间重症监护室（ICU）送检的标本进行统计分析.结果 2011年11月至2012年10月间ICU共培养阳性病例388例,院内感染分离率为40.26％,分离菌株中鲍曼不动杆菌比例最高,为32.99％；其次为肺炎克雷伯杆菌和铜绿假单胞菌,构成比分别为17.78％和17.53％.对鲍曼不动杆菌的抗菌药物中头孢哌酮钠舒巴坦钠的耐药率为27.8％,米诺环素的耐药率为34.6％,美罗培南、亚胺培南的耐药率均达到90％以上.结论 鲍曼不动杆菌是ICU感染的主要菌株,及时送检及根据药敏试验结果选用抗菌药物是院内感染控制的关键,可有效避免和延缓耐药菌株的发生和扩大.
Objective To observe the bacterial infection distribution and drug resistance in ICU of Binzhou people＇s hospital,in order to provide the rational using of antibacterial drugs.Methods The species distribution and drug resistance of bacteria isolated from November 2011 to October 2012 in Binzhou people＇ s hospital were analyzed.Results Among the ICU patients,bacteria separation acounted for 40.26％,including 128 cases of Acinetobacter baumannii,accounting for 32.99％.Klebsiella pneumoniae and Pseudomonas aeruginosa accounted for 17.78％ and 17.53％.The rsistance rates of Acinetobacter to Cefoperazone,Minocycline,Meropenem,Imipenem were 27.8％,34.6％,94.4％,95.1％.Conclusions Acinetobacter baumannii is the main infectious pathogen in ICU.Early diagnosis and rational use of antibacterial drugs are the key to prevention and treatment of hospital infection.The occurrence and expand of resistant strains and expand should be avoid and delayed.
出处
《中国实用医刊》
2013年第21期49-50,共2页
Chinese Journal of Practical Medicine
关键词
重症监护室
细菌感染
鲍曼不动杆菌
Intensive care unit
Bacterial infection
Acinetobacter baumannii
