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重症监护病房中铜绿假单胞菌耐药率与抗菌药物用药频度之间的相关性

夏方圆 张小花 陈素菜 陶真 曾大利 潘瑜 甘文思

中国临床药学杂志2025,Vol.34Issue(10):772-777,6.
中国临床药学杂志2025,Vol.34Issue(10):772-777,6.DOI:10.19577/j.1007-4406.2025.10.009

重症监护病房中铜绿假单胞菌耐药率与抗菌药物用药频度之间的相关性

Analysis of the correlation between the resistance rate of Pseudomonas aeruginosa in ICU and the DDDs of antibiotics

夏方圆 1张小花 1陈素菜 2陶真 3曾大利 1潘瑜 1甘文思4

作者信息

  • 1. 温州市中西医结合医院药剂科,温州 325000
  • 2. 温州市中西医结合医院检验科,温州 325000
  • 3. 温州市中西医结合医院ICU,温州 325000
  • 4. 温州市中西医结合医院院感科,温州 325000
  • 折叠

摘要

Abstract

AIM To explore the correlation between the drug resistance rate of Pseudomonas aeruginosa in the ICU and the concurrent DDDs of antibiotics.METHODS A retrospective analysis was conducted on the drug resistance rate of Pseudomonas aeruginosa in the ICU and the concurrent DDDs of antibiotics from 2020 to 2023.Multiple linear regression analysis was used to determine whether there was an independent linear correlation between the 2 variables.RESULTS A total of 575 strains of Pseudomonas aeruginosa were isolated from the ICU during 2020 to 2023,with an average detection rate of 15.50%.Among them,493 strains(85.74%)were isolated from respiratory tract specimens.The resistance rate of Pseudomonas aeruginosa to colistin in the ICU was the lowest,followed by amikacin and tobramycin.The results of multiple linear regression showed that the resistance rates of Pseudomonas aeruginosa in the ICU to cefepime and levofloxacin were only positively linearly correlated with the DDDs of imipenem,with regression coefficients β of 0.499 and 0.619,respectively;the resistance rate of Pseudomonas aeruginosa in the ICU to ciprofloxacin was also positively correlated with the DDDs of imipenem and ceftazidime.CONCLUSION The drug resistance rate of Pseudomonas aeruginosa in the ICU is closely related to the use of antibiotics.Hospitals should strengthen supervision of antibiotic application,optimize anti-infection plans,and delay the development of bacterial resistance.

关键词

铜绿假单胞菌/重症监护病房/多重线性回归分析/相关性

Key words

Pseudomonas aeruginosa/intensive care unit/multiple linear regression analysis/correction

分类

临床医学

引用本文复制引用

夏方圆,张小花,陈素菜,陶真,曾大利,潘瑜,甘文思..重症监护病房中铜绿假单胞菌耐药率与抗菌药物用药频度之间的相关性[J].中国临床药学杂志,2025,34(10):772-777,6.

基金项目

温州市科技计划项目(编号Y2023931) (编号Y2023931)

中国临床药学杂志

1007-4406

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