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基层医院 ICU 鲍曼不动杆菌的感染现况及耐药性分析

黄健云 芮勇宇 莫和国 黎泳仪 陆小琴 欧水连 邴晏如

现代检验医学杂志Issue(3):101-103,3.
现代检验医学杂志Issue(3):101-103,3.DOI:10.3969/j.issn.1671-7414.2015.03.029

基层医院 ICU 鲍曼不动杆菌的感染现况及耐药性分析

Survey on Acinetobacter Baumannii Infection and Analysis of Drug Susceptibility in ICU

黄健云 1芮勇宇 2莫和国 1黎泳仪 1陆小琴 1欧水连 1邴晏如1

作者信息

  • 1. 南方医科大学附属小榄医院检验科,广东中山 528415
  • 2. 南方医科大学南方医院检验医学科,广州 510515
  • 折叠

摘要

Abstract

Objective To investigate the current situation on the infection of Acinetobacter baumannii in ICU and evaluate the efficiency of resistance control project which was performed in Xiaolan hospital,so as to provide scientific basis for clinical rational use of antibiotics.Methods Used VITEK-2 microbiology analysis system for the pathogen identification and drug sensitivity.Compared drug resistance of Acinetobacter baumannii isolated from the samples of ICU patients in 2012 (before the project executed)with that in 2013 (after the project executed).Results 71 strains and 57strains Acinetobacter bauman-nii were isolated from the ICU in 2012 (before the project executed)and in 2013 (after the project executed)respectively, which majorly isolated from the samples of respiratory system,and occupied 94.4% and 84.2% respectively.The infection rate of multi-resistant Acinetobacter baumannii was decreased from 77.5% to 66.7%,and the resistance rate of Acinetobact-er baumannii to cefepime,ceftazidime,cefatriaxone,tobramycin and cotrimoxazole decreased distinctly after the implementa-tion of drug resistance control management (χ2 > 3.84,P <0.05).Conclusion The drug resistance rates of Acinetobacter baumannii to 14 kinds of routine antibacterial drugs in 2013 were lower than that in 2012 in ICU.Among them,the drug re-sistance rates of Acinetobacter baumannii to 5 kinds of antibacterial drugs decreased distinctly.

关键词

鲍曼不动杆菌/抗药性/抗生素/多重耐药性

Key words

acinetobacter baumannii/drug resistance/antibiotics/multiple drug resistance

分类

医药卫生

引用本文复制引用

黄健云,芮勇宇,莫和国,黎泳仪,陆小琴,欧水连,邴晏如..基层医院 ICU 鲍曼不动杆菌的感染现况及耐药性分析[J].现代检验医学杂志,2015,(3):101-103,3.

基金项目

中山市医学科研基金项目(N02009063)。 ()

现代检验医学杂志

OACSTPCD

1671-7414

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