现代检验医学杂志2012，Vol.27Issue(6)：61-63,66,4.DOI:10.3969/j.issn.1671-7414.2012.06.019
2009~2011年铜陵地区鲍曼不动杆菌医院感染的临床分布及耐药性分析
Analysis of Clinical Distribution and Drug Resistance of Acinetobacter Baumannii in Nosocomial Infection from 2009 to 2011 in Tongling
唐吉斌 1章文 1胡志军 1翁伟1
作者信息
- 1. 铜陵市人民医院检验科,安徽铜陵,244009
- 折叠
摘要
Abstract
Objective To investigate the clinical distribution and the drug resistance of Acinetobacter baumannii (ABA) during past 3 years in Tongling area,and to provide evidence for clinical treatment of ABA infection. Methods The isolated of ABA strains from 2009 to 2011 in Tongling area were identified and antimicrobial susceptibility tests were performed using the K-B method,and thus,the ward distribution and the drug resistance rates and the changing trend were respectively analyzed by WHONET5. 4 software. Results A total of 1 024 ABA strains were isolated in 3 years,in which the most common specimens were sputum(59. 9%) ,followed by the throat swab(11. 9%) and the secretions (4. 3%). When it came to the ward distribution, ICU was the primary, which accounted for 35. 3% , followed by the department of cerebral surgery (11. 9%) ,the respiratory medicine (11. 3%) and the department of orthopedics (5. 7%). There was a obviously increasing overall trend in drug resistance rates from 2009 to 2011, while imipenem and meropenem were especially obvious, in which the drug resistance rates of imipenem were 29. 2% , 59% and 87. 1% in last 3 years, and the rates of meropenem were 33. 3% ,61. 3% and 96. 3% respectively. The drug resistance rates of the most commonly used antibiotics were more than 50% ,apart form Cefoperazone/sulbactam and Minocycline. Conclusion The ABA is an important source of infection, which exhibited a clear and rapid upward trend in the drug resistance rates. The clinician should choose antibiotics reasonably in the light of the drug resistance rates so as to control the epidemic of the drug-resistant strains and hospital infection.关键词
鲍曼不动杆菌/医院感染/耐药性Key words
acinetobacter baumannii/hospital infections/resistance分类
医药卫生引用本文复制引用
唐吉斌,章文,胡志军,翁伟..2009~2011年铜陵地区鲍曼不动杆菌医院感染的临床分布及耐药性分析[J].现代检验医学杂志,2012,27(6):61-63,66,4.
