摘要
目的探讨鲍曼不动杆菌和洛菲不动杆菌的医院感染情况及耐药性分析。方法选取2021年2月-2022年11月单县中心医院临床标本内分离的洛菲不动杆菌、鲍曼不动杆菌,并分析标本药敏试验结果、标本分布、标本来源等。结果鲍曼不动杆菌主要分布在呼吸内科(22.55%)、康复医学科(20.59%)、神经内科(10.78%)、肾内科(9.80%),洛菲不动杆菌主要分布在呼吸内科(23.40%)、神经内科(20.21%)、肾内科(19.15%);鲍曼不动杆菌标本主要来源为痰液(68.63%)、中段尿(16.67%)、咽拭子(5.88%);洛菲不动杆菌标本主要来源于痰液(73.40%)、中段尿(22.34%)、咽拭子(4.26%)。性别分布主要在男性,分别占比63.73%、65.96%,高于女性人群(36.27%、34.04%)(P<0.05);鲍曼不动杆菌耐药率最高的为哌拉西林/他唑巴坦(24.36%),其次为阿米卡星(22.58%)、头孢他啶(18.72%);洛菲不动杆菌耐药率最高的为替卡西林/克拉维酸(26.05%),其次为头孢他啶(24.02%)、环丙沙星(22.03%)。结论鲍曼不动杆菌和洛菲不动杆菌均分离在男性、老年人群中的呼吸道标本上,两者耐药率均低,但后者更低于前者,临床需进一步加大重视。
Objective To investigate the nosocomial infection and drug resistance analysis of Acinetobacter Baumannii and Acinetobacter lwofii.Methods Acinetobacter lwoffei and Acinetobacter Baumannii isolated from clinical specimens of our hospital from February 2021 to November 2022 were selected,and the results of drug sensitivity test,specimen distribution and specimen source were analyzed.Results Acinetobacter Baumannii was mainly distributed in the department of Respiratory medicine(22.55%),Department of rehabilitation medicine(20.59%),Department of Neurology(10.78%)and Department of Nephrology(9.80%).Acinetobacter lwofii was mainly distributed in the department of respiratory Medicine(23.40%),Department of neurology(20.21%)and Department of nephrology(19.15%).The main sources of Acinetobacter Baumannii samples were sputum(68.63%),midstream urine(16.67%)and throat swab(5.88%).Acinetobacter lwoffei specimens were mainly derived from sputum(73.40%),midstream urine(22.34%)and throat swab(4.26%).The sex distribution was mainly in males,accounting for 63.73% and 65.96%,respectively,which were higher than that in females(36.27%and 34.04%)(P<0.05).The drug resistance rate of Acinetobacter Baumannii was the highest(24.36%),followed by amicacin(22.58%)and ceftazidime(18.72%).The drug resistance rate of Acinetobacter lwoffei was the highest(26.05%),followed by ceftazidime(24.02%)and ciprofloxacin(22.03%).Conclusions Acinetobacter Baumannii and Acinetobacter lwoffei were isolated from respiratory specimens in male and elderly population,and the drug resistance rates of both were low,but the latter was lower than the former,which should be paid more attention to in clinic.
作者
李振起
贾冬青
欧内玉
冯慧
Li Zhenqi;Jia Dongqing;Ou Neiyu;Feng Hui(Shanxian Central Hospital,Heze,Shandong 274300,China)
出处
《首都食品与医药》
2023年第8期71-73,共3页
Capital Food Medicine
关键词
医院感染
洛菲不动杆菌
鲍曼不动杆菌
耐药
nosocomial infection
Acinetobacter lwoffei
Acinetobacter Baumannii
Drug resistance
