摘要
目的:针对老年血流感染的病原菌分布及药敏进行分析。方法:分析2016年1月至2017年6月本院老年血流感染患者100例,通过查阅病历、床旁填写调查问卷表,同时要求监控相关责任医生进行业务总结并及时上报,老年血源性感染病原菌分布及药敏结果。结果:G+占比为26.0%,其中金黄色葡萄球菌占比较高,G-占比为74.0%,肺炎克雷伯菌、大肠埃希菌及铜绿假单胞菌占比较高,老年血源感染最常见的G-为铜绿假单胞菌,其耐药抗生素多见为磺胺甲恶唑、环丙沙星和头孢噻肟,对亚胺培南和美罗培南均敏感,金黄色葡萄球菌最常见的耐药菌为青霉素G、氨苄西林和磺胺甲恶唑,同时其对万古霉素与替考拉宁均敏感。结论:针对老年血液感染者,以G-感染多见,同时其对亚胺培南和美罗培南较为敏感,其次G+感染以金黄色葡萄球菌为最常见,其对万古霉素与替考拉宁均敏感。
Objective To analyze the distribution and drug sensitivity of pathogens isolated for blood borne infection in elderly Methods 100 elderly cases with bloodstream infection from January 2016 to June 2017 were analyzed, then the monitor of the relevant doctors for business summary and timely report the distribution of pathogens and drug sensitivity of blood borne pathogens were compared.Results G＋ accounted for 26%, Staphylococcus aureus accounted was higher than G- 74%, Klebsiella pneumoniae, Escherichia coli and pseudomonas aeruginosa accounted for relatively high, old blood for pseudomonas aeruginosa infection was most common, the resistance of antibiotics was found sulfalene evil Zun, ciprofioxacin and cefotaxime were sensitive to imipenem and meropenem, the most common drug resistant bacteria was staphylococcus aureus with penicillin G, ampicillin and sulfamethoxazole, and sensitive with vancomycin and teicoplanin. Conclusion For elderly blood infection, G- infection imipenem and meropenem is more sensitive, then G＋ infection with Staphylococcus aureus is the most common, which were sensitive the vancomycin and teicoplanin.
出处
《影像研究与医学应用》
2017年第7期22-23,共2页
Journal of Imaging Research and Medical Applications
关键词
老年
血源性感染
病原菌
药敏
Elderly
Blood Borne Infection
Pathogenic Bacteria
Drug sensitivity
