摘要
目的 了解ICU院内分离菌菌谱及细菌耐药情况 ,为临床防治提供依据。方法 对我院ICU 2 0 0 0年 1月～ 2 0 0 2年 12月 3年间所分离的细菌菌株、真菌及细菌耐药性进行回顾性调查。结果 分离菌仍以G-菌为主 ,占 5 7.7% ,其次G+ 菌 2 6 .7%、真菌 15 .6 %。G-以肠杆菌属为主。G+ 菌以金黄色葡萄球菌 (金葡菌 )为主 ,耐甲氧西林葡萄球菌占G+ 92 %。真菌以白色念珠菌为主。前 6位分别为金葡菌 (SA ,15 .0 % )、产气肠杆菌 (12 .3% )、肺炎克雷伯杆菌 (11.0 % )、埃希氏肠杆菌 (10 .1% )、白色念珠菌 (9.5 % )和嗜麦芽窄食黄单胞菌 (6 .4 % )。体外药敏试验显示主要分离菌均呈多重耐药特性。只有万古霉素对G+ 具有很强抗菌活性 ,敏感率 10 0 %。结论 本ICU院内分离菌仍以G-菌为主 ,金葡菌已上升到第 1位。细菌呈多重耐药特性 ,耐甲氧西林葡萄球菌在G+ 中比例很高 ,应高度重视。掌握本地区。
Objective To get knowledge of the spectrum of microorganisms and drugs resistance in ICU so as to provide the evidence for treatment. Methods The microorganisms isolated from ICU and their drugs resistances were retrospectively analyzed from January 2000 to December 2002. Results Gram-negative bacteria (G - 57.7%) was still the mains in ICU, most are Enterobacteriacae; The following is Gram-positive bacteria (G +26.7%), most are Staplhylococcus aureus, and fungi (15.6%) mainly include Candida albicans. The most frequent isolates were Staphylococcus aureus (SA, 15.0%), Enterobacter aerogenes (12.3%), Klebsiella pneumoniae(11.0%), Escherichia coli (10.1%), Candida albicans (9.5%) and Stenotrophomas maltophilia (SM,6.4%) in turns. The drugs susceptibility test in vitro showed that the main organisms were all in multi-drug resistance. Conclusions The G - was still the most prevalence microorganism in ICU and SA was in the first position of all microorganisms. The main microorganisms were multi-drug resistant. So it’s important to survey the characteristics of the spectrum of microorganisms and drugs resistance in your own department.
出处
《现代护理》
2004年第8期697-699,共3页
Modern Nursing
关键词
ICU
分离菌
耐药性
ICU Microorganism Drugs resistance
