临床常见病原菌对抗生素敏感性变迁的研究

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对我室1995~1997年两年中所分离的临床常见病原菌的种类及其对抗生素敏感性的变迁进行了分析。两年中共收集标本3357份。1995~1996年收集了1800份标本,病原菌分离率为37.61%(677/1800)。在677株分离菌中,革兰氏阳性菌占40.64%,以金葡球菌(55.21%)及表葡球菌(35.02%)为主;革兰氏阴性菌占46.15%,以不动杆菌(26.94%)、大肠埃希氏菌(24.17%)和铜绿假单胞菌(21.94%)为主。1996~1997年收集了1557份标本,病原菌分离率为36.42%(567/1557)。在567株分离菌中,革兰氏阳性菌占49.74%,以金葡球菌(60.27%)和表葡球菌(29.55%)为主;革兰氏阴性菌占45.22%,以大肠埃希氏菌(39.26%)、铜绿假单胞菌(19.63%)和不动杆菌(15.56%)为主。用K-B法测定病原菌对常用抗生素体外敏感性试验的结果显示:革兰氏阳性菌对苯唑西林、氧氟沙星和环丙沙星的敏感率逐年下降(苯唑西林从22.68%降至19.31%,氧氟沙星从85.64%降至80%,环丙沙星从80.88%降至73.33%),而对头孢菌素类的敏感性略有上升(? The types of clinical common pathogens isolated in our hospital from 1995 to 1997 and their changes in susceptibility to antibiotics were analyzed. In two years, 3357 specimens were collected. 1800-1000 samples were collected from 1995 to 1996, and the isolation rate of pathogenic bacteria was 37.61% (677/1800). Among the 677 isolates, Gram-positive bacteria accounted for 40.64%, Staphylococcus aureus (55.21%) and Staphylococcus epidermidis (35.02%), Gram-negative bacteria accounted for 46.15 %, Mainly Acinetobacter (26.94%), Escherichia coli (24.17%) and Pseudomonas aeruginosa (21.94%). From 1996 to 1997, 1557 specimens were collected, and the isolation rate of pathogenic bacteria was 36.42% (567/1557). Of the 567 isolates, Gram-positive bacteria accounted for 49.74%, mainly Staphylococcus aureus (60.27%) and Staphylococcus epidermidis (29.55%); Gram-negative bacteria accounted for 45.22 %, Escherichia coli (39.26%), Pseudomonas aeruginosa (19.63%) and Acinetobacter (15.56%). The K-B method was used to determine the susceptibility of pathogens to commonly used antibiotics in vitro. The results showed that the susceptibility of Gram-positive bacteria to oxacillin, ofloxacin and ciprofloxacin decreased year by year (oxacillin from 22.68 % To 19.31%, ofloxacin from 85.64% to 80%, and ciprofloxacin from 80.88% to 73.33%), whereas the sensitivity to cephalosporins was slightly rise(?
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