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Mohnarin2009年度报告:65岁以上老年患者细菌耐药监测

张智洁 吴丽娜 王艳玲 周秀珍 刘建华 刘勇

中国临床药理学杂志2011,Vol.27Issue(7):501-507,7.
中国临床药理学杂志2011,Vol.27Issue(7):501-507,7.

Mohnarin2009年度报告:65岁以上老年患者细菌耐药监测

Mohnarin 2009 annual report: Bacterial resistance surveillance of patients age more than 65 years

张智洁 1吴丽娜 1王艳玲 1周秀珍 1刘建华 1刘勇1

作者信息

  • 1. 中国医科大学附属盛京医院检验科,沈阳110004
  • 折叠

摘要

Abstract

Objective To investigate the distribution and drug resistance characteristics of isolates from patients age more than 65 years. Methods Isolates were cultured by routine method and identified by the API or automatic bacteria analysis system. K - B or MIC method was used to detected the susceptibility of antibiotics. WHONET 5.5 software was used to data statistic and analyze. Results A total of 42733 I-solates were collected from patients age more than 65 years in 114 hospitals. The most predominant pathogens were Escherichia coli ,Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii and Staphy-loccous aureus. 59% isolates from sputum. ESBLs - producing rates of Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca and Proteus mirabilis were 70. 6% ,49. 7% ,40. 6% and 32. 7% respectively. Resistance of carbopenems to Enterobacteriaceae less than 2.0%. Susceptibility of polymyxin to Pseudomonas aeruginosa and Acinetobacter baumannii were 95. 9% and 96.4% . Prevalence of the methicillin - resistance strains of Staphyloccous aureus, Staphyloccous epidermidis and Staphyloc-cous haemolyticus were 71. 9% ,82.0% and 89. 3% respectively. All I-solates of Staphyloccous were susceptible to vancomycin and linezolid.Resistance rates of Enterococcus spp. To vancomycin ,linezolid and teicoplanin less than 5. 9%. Conclusion Bacteria of patients age more than 65 years isolated from sputum mainly. More opportunity was found of ESBL and MRS isolates. No significance difference compared to ordinary patients about other antibiotics.

关键词

细菌耐药监测;耐药率;细菌感染

Key words

bacterial resistance surveillance/ resistance rate/bacterial infectoin

分类

医药卫生

引用本文复制引用

张智洁,吴丽娜,王艳玲,周秀珍,刘建华,刘勇..Mohnarin2009年度报告:65岁以上老年患者细菌耐药监测[J].中国临床药理学杂志,2011,27(7):501-507,7.

中国临床药理学杂志

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