陕西医学杂志2011，Vol.40Issue(2)：188-191,4.
2004～2007年医院血培养病原菌的种类及耐药性变迁
Distribution and changing pattern of susceptibility of blood culture isolates in 2004～2007
王炜 1许淑珍1
作者信息
- 1. 首都医科大学附属北京友谊医院,北京100050
- 折叠
摘要
Abstract
Objective :To investigate the distribution and changing pattern of susceptibility of blood culture isolates from 2004 ～ 2007. Methods: All isolates were identified by VITEK-2 compact automatic micobiological identification equipment. According to CLSI' s guideline, antimicrobial susceptibility tests were performed with disk diffusion method. Results; The main bacterium identified from the blood specimen from 2004 to 2007 were coagulase negative Staphylococcus、Escherichia coli、Enterococcus spp. According to results of antimicrobial susceptibility tests, the susceptibility of Escherichia coli and Klebsiella spp to imipenem and sulperazon were 100％. The susceptibility of Staphylococcus aureus and MRSA to vancomycin were 100％. The susceptibility of Enterococcus spp to vancomycin.chloramphenicol and teicoplanin were high. The susceptibility of Pseudomonas aeruginosa to Sulperazon was high. Conclusion :The sum total of blood culture in our hospital are gradualy increasing year by year and the positive rates are elevating tendency. The separation rates of gram positive coccus are a little exceeding the gram negative baterium. Gram positive coccus are mainly Staphylococcus aureua and Enterococcus spp. Gram negative baterium are mainly Escherichia coli and Pseudomonas aeruginosa. Carbapenem are the first choice antibiotics to cure serious blood infection caused by Escherichia coli. The cure of infection caused by Klebsiella spp induced ESBL and Klebsiella spp not-induced ESBL are different. The clinician should choice antibiotics by antimicrobial susceptibility tests. The first choice antibiotics is vancomycin to cure MRSA. Sulperazon have high susceptiblity to Pseudomonas aeruginosa and advocate combine drugs .关键词
医院科室/感染/细菌/微生物敏感性试验分类
医药卫生引用本文复制引用
王炜,许淑珍..2004～2007年医院血培养病原菌的种类及耐药性变迁[J].陕西医学杂志,2011,40(2):188-191,4.
