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黏质沙雷菌的耐药率分析及碳青霉烯酶的检测

王欣 任超杰 扈会整 郝晓柯

现代检验医学杂志Issue(1):118-120,3.
现代检验医学杂志Issue(1):118-120,3.DOI:10.3969/j.issn.1671-7414.2015.01.034

黏质沙雷菌的耐药率分析及碳青霉烯酶的检测

Detection of Drug Resistance of Serratia Marcescens Rate Analysis and Carbapenemase

王欣 1任超杰 2扈会整 1郝晓柯2

作者信息

  • 1. 陕西省核工业215 医院检验科,陕西咸阳 712000
  • 2. 第四军医大学西京医院检验科,西安 710032
  • 折叠

摘要

Abstract

Objective To analyze the drug resistance in clinical isolates of Serratiamarcescens of conventional treatment and carbapenemases,guiding the clinical rational drug use.Methods 106 strains of Serratiamarcescens from 2009~2012 year the clinical isolation,K-B disk diffusion susceptibility test,the modified Hodge method for screening the carbapenemase, Whonet statistical analysis.Results Serratia marcescens in sputum,secretions,swallow swab,urine samples were isolated 89 strains (84.1%),4 strains (3.8%),3 strains (2.8%)and 3 strains (2.8%).Serratiamarcescens resistant to ampicillin and cefazolin rate more than 90%,to aztreonam,cefepime,ceftazidime,piperacillin/tazobactam and Cefoperazone/sulbactam, drug resistance rate was 10%~22%,to amikacin,ciprofloxacin and imipenem were lower than 10%.Imipenem the resistant strains in 4 strains,the modified Hodge test positive 3 strains,the positive rate was 2.8%.Conclusion Serratiamarcescens extensively drug-resistant strains,the resistant mechanism is very complex,the institute has appeared carbapenemase produ-cing strains,clinicians should be based on the drug sensitivity test results.

关键词

黏质沙雷菌/耐药率/碳青霉烯酶

Key words

serratiamarcescens/resistance rate/carbapenemase

分类

医药卫生

引用本文复制引用

王欣,任超杰,扈会整,郝晓柯..黏质沙雷菌的耐药率分析及碳青霉烯酶的检测[J].现代检验医学杂志,2015,(1):118-120,3.

基金项目

陕西省科学技术研究发展计划项目(项目编号2014K11-02-03-09)。 ()

现代检验医学杂志

OACSTPCD

1671-7414

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