摘要
目的对我院2016年第二季度感染细菌感染分布及药敏情况进行回顾性分析,为临床合理用药提供有效的依据。方法收集我院2016年4~6月临床科室送检的标本,采用法国梅里埃ATB微生物和药敏分析系统进行细菌鉴定及药敏试验,回顾性分析其临床分布特点、耐药性。结果 2016年第二季度收到住院部细菌培养标本共计4324份,所送标本检出病原菌513株,检出率为11.9%,其中革兰阴性杆菌188株,占36.6%;革兰阳性球菌177株,占34.5%;革兰阳性杆菌3株,占0.6%;酵母样菌145株,占28.3%。革兰阴性杆菌对亚胺培南、美洛培南、头孢哌酮/舒巴坦、哌拉西林/他唑巴坦、阿米卡星、呋喃妥因的敏感率均达到80.0%。革兰阳性球菌对利福平、氯霉素、万古霉素敏感率均达到80.0%以上。结论本院感染的病原菌主要以革兰阴性杆菌及革兰阳性球菌为主,分离的病原茵耐药现象较常见。加强并做好细菌耐药监测工作,对指导临床合理用药物具有重要意义。
Objective To retrospectively analyze the bacteria distribution and drug susceptibility of our hospital in the second quarter of 2016, and to provide the basis for clinical rational use of antimicrobial agents.Methods The clinical specimens from April 2016 to June 2016 were selected. The French merry Emmanuel ATB bacteria identification analyzer system was used for bacteria identification and drug sensitive test. The clinical distribution characteristics and drug resistance were retrospectively analyzed.Results In the second quarter of 2016 , 4324 samples were received for bacteria culture from the inpatient, there were 513 strains pathogenic bacteria, the detection rate was 11.9%, which included 188 strains gram-negative bacillus, 177 strains gram positive coccus, 3 strains gram positive bacillus and 145 strains yeast fungus.The respectively account of them were 36.6%, 34.5%, 0.6%, 28.3%. The sensitive rate above 80.0% of Gram-negative bacilli were imipenem, meropenem, cefoperazone/shu ba, piperacillin/ he thiazole ba jotham, amikaci and nitrofurantoin. The sensitive rate above 80.0% of Gram positive coccus were rifampicin, chloramphenicol and vancomycin. Conclusion The mainly infection of our hospital are pathogenic bacteria gram-negative bacilli and gram-positive cocci. The bacterium resistance phenomenon is more common. We should strengthen bacterial drug resistance monitoring.Tt is of great significance to guide clinical rational use drugs.
出处
《中国医药科学》
2017年第4期191-193,共3页
China Medicine And Pharmacy
关键词
细菌
分布
药敏
Bacteria
Distribution
Drug susceptibility
