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2012~2013年医院感染多重耐药鲍曼不动杆菌耐药性分析

罗甫花 姜维 蒋晓军 宁艳萍 刘伟

医学信息Issue(17):25-26,2.
医学信息Issue(17):25-26,2.

2012~2013年医院感染多重耐药鲍曼不动杆菌耐药性分析

Analysis of Drug Resistance of Multidrug Resistant Acinetobacter Baumannii in Hospital Infection from 2012 to 2013

罗甫花 1姜维 1蒋晓军 1宁艳萍 1刘伟1

作者信息

  • 1. 湖南省邵阳市第一人民医院检验科,湖南邵阳 422000
  • 折叠

摘要

Abstract

Objective The changes of clinical distribution and drug resistance of multidrug resistant Acinetobacter baumanni (MDRAB)in the hospital in 2012~2013 were Studied in order to provide a foundation for rational administration of antimicrobial drugs.Methods The strain identification were performed by using VITEK-2 compact identification system and antimicrobial susceptibility testing were car ied out by means of Kirby-Bauer method.The data were analyzed by WHONET 5.6 software according to CLSI 2012 breakpoints.Results The detection rate of MDRAB was 25.83%in 2012,and 16.08%in 2013.The ratio declined slightly,with no statistical significance.MDRAB strains were mainly isolated from respiratory disease Department (32.3%/13.0),neurosurgical department (16.1%/39.1%)and neurosurgical intensive care unit(25.8%/17.4).The major specimens of MDRAB was sputum(90.6/91.3).MDRAB isolates showed the lowest resistant rates to Colistin,Minocycline and Cefoperazone/Sulbactam in the 25 kinds of commonly used antimicrobial drugs.The resistant rates of other antimicrobial agents were higher than 50.0%.The resistant rates to 9 kinds of drug resistance rate was 100%.Conclusion Through the strict management of multidrug resistant bacteria in hospital infection,the detection rate of MDRAB is decreased,the majority of antimicrobial resistance rates have dropped in.Clinical should continue to at ach importance to MDRAB infections,the rational use of antimicrobial drugs,to strengthen disinfection and isolation,in order to bet er prevent occur ence and spread of MDRAB.

关键词

多重耐药鲍曼不动杆菌/医院感染/耐药性

Key words

Multidrug resistant Acinetobacter baumanni (MDRAB)/Nosocomial inefction/Drug resistance

引用本文复制引用

罗甫花,姜维,蒋晓军,宁艳萍,刘伟..2012~2013年医院感染多重耐药鲍曼不动杆菌耐药性分析[J].医学信息,2015,(17):25-26,2.

医学信息

1006-1959

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