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目的监测2013-2014年邵阳市中心医院临床分离的常见革兰阴性杆菌的耐药性,为临床合理用药提供参考依据。方法对2013-2014年该院分离到的常见革兰阴性杆菌做药敏分析,使用WHONET5.6软件进行数据分析。结果连续两年该院分离到的常见革兰阴性杆菌前五位分别为大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌和阴沟肠杆菌。肠杆菌科细菌对碳青霉烯类抗生素仍保持较高的敏感性,但阴沟肠杆菌的敏感性只有80%左右。对大肠埃希菌敏感性较高的抗生素有阿米卡星、亚胺培南、美罗培南和哌拉西林/他唑巴坦;对肺炎克雷伯菌和阴沟肠杆菌敏感性较高的抗生素有阿米卡星、亚胺培南、美罗培南和左氧氟沙星。铜绿假单胞菌和鲍曼不动杆菌对碳青霉烯类药物的敏感性均在50%以下。结论耐碳青霉烯类药物的肠杆菌科细菌逐年增多。鲍曼不动杆菌的耐药性较高。
Objective To monitor the drug resistance of common Gram-negative bacilli isolated from clinical centers in Shaoyang Central Hospital from 2013 to 2014, and provide a reference for clinical rational drug use. Methods The susceptibility of common Gram-negative bacilli isolated from this hospital from 2013 to 2014 was analyzed by using the WHONET5.6 software. Results The top five common Gram-negative bacilli isolated in this hospital for two consecutive years were Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter cloacae, respectively. Enterobacteriaceae carbapenem antibiotics still maintain a high sensitivity, but the sensitivity of Enterobacter cloacae only about 80%. Antibiotics with high sensitivity to Escherichia coli include amikacin, imipenem, meropenem and piperacillin / tazobactam; antibiotics that are more susceptible to Klebsiella pneumoniae and Enterobacter cloacae Amikacin, imipenem, meropenem and levofloxacin. Pseudomonas aeruginosa and Acinetobacter baumannii to carbapenem sensitivity are below 50%. Conclusion Enterobacteriaceae resistant to carbapenem are increasing year by year. Acinetobacter baumannii higher resistance.