摘要
目的分析我院重症监护室（ICU）多重耐药菌分布和耐药情况。方法采用回顾性调查方法,对我院2013~2015年多重耐药菌目标监测数据进行分析。结果 1.所检出多重耐药菌中以革兰阴性杆菌为主。革兰阴性杆菌占87.04%,其中大肠埃希菌占8.33%,肺炎克雷伯菌占24.54%,鲍曼不动杆菌占38.89%,铜绿假单胞菌占7.87%;革兰阳性球菌占12.96%,其中表皮葡萄球菌占3.24%,金黄色葡萄球菌占8.80%;2.多重耐药革兰阴性杆菌的耐药率中总体对庆大霉素、左氧氟沙星、头孢他定耐药程度比较严重,对头孢哌酮舒巴坦、亚胺培南已有耐药情况,多重耐药革兰阳性球菌的耐药率中总体对替加环素、万古霉素、利奈唑胺比较敏感;3.多重耐药菌标本中93.06%都来源于痰液。结论多重耐药菌同样是结核重症监护病区患者感染的重要病菌,应加强对高危科室和易感人群的监控,遏制多重耐药菌的感染和传播。
Objective To analyze the distribution and drug resistance of multi drug resistant bacteria in intensive care unit（ICU） in our hospital.Methods The investigating data of multiple drug resistant bacteria in our hospital from 2013 to 2015 were retrospectively analyzed.Results Multi drug resistant bacteria was mostly gram negative bacilli which accounted for 87.04%,including Escherichia coli for 8.33%,Klebsiella pneumonia for 24.54%,Acinetobacter baumannii for 38.89%,Pseudomonas aeruginosa for 7.87%;gram positive cocci accounted for 12.96%,which included 3.24% of Staphylococcus aureus and 8.80% of Staphylococcus aureus.In the resistance rates of gram negative bacilli,the drug resistance rate of gentamicin,levofloxacin and ceftazidime were more serious,while cefoperazone sulbactam,imipenem had the trend of drug resistance.In resistant rate of gram positive bacteria,tigecycline,vancomycin and linezolid were more sensitive.93.06% specimens in multi drug resistant bacteria were from sputum.Conclusion Multi drug resistant bacteria are also an important pathogen of infection in patients with tuberculosis.Monitoring of high-risk departments and susceptible population should be strengthened,and spread of multi drug resistant bacteria infection should be kept down.
出处
《新疆医学》
2016年第10期1297-1299,共3页
Xinjiang Medical Journal
关键词
结核
重症监护室
多重耐药菌
预防
Tuberculosis intensive care unit
MDRO
Prevention
