中国感染控制杂志2023，Vol.22Issue(12)：1438-1451,14.DOI:10.12138/j.issn.1671-9638.20233823
湖南省细菌耐药监测网2012-2021年胸、腹腔积液细菌耐药性监测报告
Antimicrobial resistance of bacteria from pleural and peritoneal effusion:surveillance report from Hunan Provincial Antimicrobial Resistance Sys-tem,2012-2021
摘要
Abstract
Objective To understand the distribution and antimicrobial resistance changes of bacteria isolated from pleural and peritoneal effusion in Hunan Province,and provide reference for correct clinical diagnosis and rational antimicrobial use.Methods Data reported by member units of Hunan Provincial Antimicrobial Resistance Survei-llance System from 2012 to 2021 were collected.Bacteria antimicrobial resistance surveillance method was imple-mented according to technical scheme of China Antimicrobial Resistance Surveillance System(CARSS),and WHO-NET 5.6 software was used to analyze the data of bacteria isolated from pleural and peritoneal effusion as well as antimicrobial susceptibility testing results.Results From 2012 to 2021,a total of 28 934 bacterial strains were iso-lated from specimens of pleural and peritoneal effusions from member units of Hunan Provincial Antimicrobial Re-sistance Surveillance System,with 5 752 strains from pleural effusion and 23 182 from peritoneal effusion.The top five bacteria isolated from pleural effusion were Escherichia coli(n=907,15.8％),Staphylococcus aureus(n=535,9.3％),Klebsiella pneumoniae(n=369,6.4％),Staphylococcus epidermidis(n=452,7.9％),and Staphy-lococcus haemolyticus(n=285,5.0％).The detection rate of methicillin-resistant Staphylococcus aureus(MR-SA)from pleural effusion was 24.3％-39.2％,and that of methicillin-resistant coagulase negative Staphylococcus(MRCNS)was 58.8％-77.1％.The top five bacteria isolated from peritoneal effusion were Escherichia coli(n=8 264,35.6％),Klebsiella pneumoniae(n=2 074,9.0％),Enterococcus faecium(n=1 458,6.3％),Staphylo-coccus epidermidis(n=1 383,6.0％),and Pseudomonas aeruginosa(n=1 152,5.0％).The detection rate of MRSA from peritoneal effusion was 22.1％-52.4％,which presented a decreasing trend(P=0.004).The detec-tion rate of MRCNS was 60.4％-79.4％.The resistance rates of Enterobacterales from peritoneal effusion to ce-fazolin,cefuroxime,ceftriaxone and cefepime all showed decreasing trends(all P＜0.05).Vancomycin-,linezo-lid-,and teicoplanin-resistant Staphylococcus strains were not found in pleural and peritoneal effusions.The resis-tance rates of Enterococcus faecium to most tested antimicrobial agents were higher than those of Enterococcus fae-calis.The resistance rates of Enterobacterales to imipenem and meropenem were ≤8.5％.The resistance rates of non-fermentative Gram-negative bacilli to imipenem and meropenem were ≤43.3％.Conclusion The data structure of Hunan Antimicrobial Resistance Surveillance System for pleural and peritoneal effusions from 2012 to 2021 is relatively complete.The constituent and antimicrobial susceptibility of isolated pathogenic bacteria vary in different years.关键词
细菌/抗菌药物/耐药性/胸腔积液/腹腔积液/湖南省细菌耐药监测网/药物敏感性试验/监测Key words
bacteria/antimicrobial agent/antimicrobial resistance/pleural effusion/peritoneal effusion/Hunan Provincial Antimicrobial Resistance Surveillance System/antimicrobial susceptibility testing/survei-llance分类
医药卫生引用本文复制引用
唐咏雪,石国民,邬靖敏,杨怀德,袁红霞,郑铭,黄勋,吴安华,宁兴旺,文细毛,王思雨,谢小兵,陈丽华,付陈超,李晨,李艳明,刘君,任南..湖南省细菌耐药监测网2012-2021年胸、腹腔积液细菌耐药性监测报告[J].中国感染控制杂志,2023,22(12):1438-1451,14.基金项目
湖南省自然科学基金项目(NO01JJY2119) （NO01JJY2119）
"感·动中国"医疗机构感染预防与控制科研项目(GY2023013-A) （GY2023013-A）
湖南省自然科学基金项目(2022JJ30457) （2022JJ30457）
湖南省教育厅重点项目(21A0236) （21A0236）
