武警医学2025,Vol.36Issue(8):664-667,4.
北京某三甲医院2021-2023年眼部感染患者病原菌分布状况及其耐药性分析
Analysis of the distribution of pathogenic bacteria and drug resistance in patients with ocular infection in a tertiary hospital in Beijing from 2021 to 2023
刘佳 1王玉飞 1孙涛 1曹雪平 1张金红 1张薇1
作者信息
- 1. 100039 北京,解放军总医院第三医学中心检验科
- 折叠
摘要
Abstract
Objective To analyze the distribution of pathogenic bacteria and their drug resistance in patients with ocular in-fection in a tertiary hospital in Beijing,and to provide reference for the clinical rational use of antibiotics.Methods A retrospective analysis was conducted to statistically analyze the composition and drug resistance of specimens submitted by patients with ocular in-fection in a tertiary hospital in Beijing from January 2021 to December 2023.Results A total of 255 pathogenic strains were iso-lated,with a positive rate of 56.42%.Among them,134(52.55%)strains of Gram-positive bacilli,71(27.84%)strains of Gram-negative bacilli,39(15.29%)strains of Gram-positive bacilli,and 11(4.31%)strains of fungi were detected.The top 5 patho-genic bacteria isolations were Staphylococcus aureus,Staphylococcus epidermidis,Corynebacterium,Pseudomonas aeruginosa,and Streptococcus viridans,accounting for 18.04%,14.09%,10.20%,7.45%,and 7.06%,respectively.The results of drug suscep-tibility tests showed that Gram-positive cocci had the highest resistance rate to penicillin and erythromycin,and the lowest resistance rate to vancomycin and linezolid.Enterobacteriaceae had lower resistance rate to levofloxacin and ciprofloxacin,at 28.00%and 24.00%,respectively.The overall resistance rate of Pseudomonas aeruginosa was relatively low.Conclusions The isolated bacte-ria from patients with ocular infection are mainly staphylococci,with Staphylococcus aureus being the most common one.Gram-posi-tive bacteria are generally resistant to penicillin and erythromycin,but have lower resistance rate to rifampicin,and can be a better choice in clinically practice.The resistance rate of Gram-negative bacteria is generally low,and quinolones and aminoglycosides can be a choice in empirical practice.关键词
眼部感染/病原菌/药敏试验/耐药性Key words
ocular infection/pathogenic bacteria/drug susceptible test/drug resistance分类
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刘佳,王玉飞,孙涛,曹雪平,张金红,张薇..北京某三甲医院2021-2023年眼部感染患者病原菌分布状况及其耐药性分析[J].武警医学,2025,36(8):664-667,4.