摘要
目的:对比重症监护病房(ICU)与非ICU的血培养结果,分析两个病区的细菌耐药情况。方法:采用梅里埃的VITEK-2微生物分析系统对血标本中分离的病原菌进行鉴定和药敏试验。结果:ICU血培养分离常见菌依次为凝固酶阴性葡萄球菌(CNS),鲍曼不动杆菌,肺炎克雷伯菌,大肠杆菌,铜绿假单胞菌,金黄色葡萄球菌。非ICU的常见菌为大肠杆菌,肺炎克雷伯菌,CNS,铜绿假单胞菌,金黄色葡萄球菌,鲍曼不动杆菌。总体来说,在ICU血液培养出的鲍曼不动杆菌和肺炎克雷伯菌的耐药率要高于非ICU。结论:ICU的血液分离菌多呈多重耐药,尤其是鲍曼不动杆菌和肺炎克雷伯菌,应特别注意合理选用抗生素。
Objective：To compare and analyze the drug resistance of bacteria from blood culture in ICU and non-ICU.Methods： The identification and antibiotic sensitivity test of isolated bacteria were performed by VITEK-2 system.Results： The most frequent isolated bacteria from blood culture in ICU is Coagulase negative Staphylococcus,Acinetobater baumannii,Klebsiella spp,Escherichia coli,Pseudomonas aeruginosa,Staphylococcus aurens.In non-ICU,the result is Escherichia coli,Klebsiella spp,CNS,Pseudomonas aeruginosa,Staphylococcus aurens,Acinetobater baumannii.The drug resistance of Acinetobater baumannii and Klebsiella spp from ICU is higher than that from non-ICU.Conclusion： The isolated bacteria from ICU blood culture was multiple drug resistance,especially the Acinetobater baumannii and Klebsiella spp,so it is very important to pay special attention when using antibiotics.
出处
《中国卫生检验杂志》
CAS
2011年第7期1750-1752,共3页
Chinese Journal of Health Laboratory Technology
关键词
血培养
ICU
耐药
Blood culture
Intensive care unit
Drug resistance
