中国感染控制杂志2024,Vol.23Issue(4):442-447,6.DOI:10.12138/j.issn.1671-9638.20245411
湖南省细菌耐药监测网2012-2021年葡萄球菌属细菌耐药性监测报告
Antimicrobial resistance of Staphylococcus spp.:surveillance report from Hunan Province Antimicrobial Resistance Surveillance System,2012-2021
摘要
Abstract
Objective To understand the distribution and antimicrobial resistance of Staphylococcus spp.isolated from clinical specimens in Hunan Province from 2012 to 2021,provide scientific basis for rational clinical antimicro-bial use as well as the formulation and evaluation of management policies for clinical antimicrobial use.Methods According to China Antimicrobial Resistance Surveillance System(CARSS)technical scheme,antimicrobial resis-tance of Staphylococcus spp.reported by Hunan Province Antimicrobial Resistance Surveillance System in 2012-2021 was analyzed with WHONET 5.6 software.Results From 2012 to 2021,the top 4 isolated Staphylococcus were Staphylococcus aureus,Staphylococcus epidermidis,Staphylococcus haemolyticus and Staphylococcus homi-nis.Staphylococcus spp.were mainly isolated from specimens of sputum,blood,secretion,wound pus,and urine.Sputum and blood specimens accounting for 25.4%-31.8%and 21.9%-27.8%,respectively.Among all clinica-lly isolated bacteria,Staphylococcus spp.accounted for 15.5%-22.4%,showing a slowly downward trend.In the past 10 years,detection rates of methicillin-resistant Staphylococcus aureus(MRSA)decreased from 35.1%to 24.8%,while detection rates of methicillin-resistant coagulase negative Staphylococcus(MRCNS)increased,but were lower than 70%.Susceptibility rates of Staphylococcus spp.to vancomycin,teicolanin and linezolid were 100%.Conclusion Among clinically isolated Staphylococcus spp.in Hunan Province,the detection rate of MRSA has de-creased.Vancomycin-,teicoplanin-and linezolid-resistant Staphylococcus spp.were not found.Management of ra-tional use of antimicrobial agents as well as prevention and control of healthcare-associated infection should be strengthened continuously,and antimicrobial resistance surveillance should be conducted well.关键词
抗菌药物/葡萄球菌属/耐药性/监测/多重耐药菌/湖南省细菌耐药监测网Key words
antimicrobial agent/Staphylococcus spp./antimicrobial resistance/surveillance/multidrug-resistant organism/Hunan Province Antimicrobial Resistance Surveillance System分类
医药卫生引用本文复制引用
邬靖敏,石国民,杨怀德,袁红霞,郑铭,任南,吴安华,黄勋,胡金伟,曾翠,沈晖,伍勇,陈丽华,付陈超,李晨,李艳明,刘君,宁兴旺..湖南省细菌耐药监测网2012-2021年葡萄球菌属细菌耐药性监测报告[J].中国感染控制杂志,2024,23(4):442-447,6.基金项目
长沙市卫生健康委员会科研立项课题(KJ-B2023050) (KJ-B2023050)