某院呼吸科住院患者感染鲍曼不动杆菌的耐药性分析

目的分析我院呼吸科住院患者感染鲍曼不动杆菌的耐药性，为临床合理使用抗菌药物提供依据。方法对按常规送检的各类标本进行培养、分离和鉴定。对分离出的32株鲍曼不动杆菌的药敏结果进行分析。结果鲍曼不动杆菌检出率为15．4％，其对16种抗菌药物所呈现的敏感率存在差异，其中敏感性较高的前5种抗茵药物分别为氨苄西林／舒巴坦、左旋氧氟沙星、哌拉西林／他唑巴坦、头孢吡肟和妥布霉素，它们的敏感率均高于20％，其余11种抗茵药物敏感率均低于20％，有较高的耐药率。其中头孢唑啉、氨苄西林、头孢替坦、呋喃妥因和氨曲南均表现为全耐药。结论加强对鲍曼不动杆茵的耐药性监测和分析，规范抗茵药物的应用，对保持敏感抗茵药物的抗茵活性具有重要意义。

Resistance of Acinetobacter Baumannii Infection in Hospitalized Patients of Department of Respiratory in A Hospital

Objective Analysis of our hospital respiratory and drug resistance of acinetobacter baumannii infection in hospitalized patients, provide the basis for clinical rational use of antimicrobial agents. Methods Makes the conventional cultivation, separation and identification of all kinds of specimens. The 32 strains of acinetobacter baumannii isolated from the drug susceptibility results are analyzed. Results Acinetobacter baumannii detection rate was 15.4%, the 16 kinds of antimicrobial agents of sensitive rate, high sensitivity of the first five kinds of antimicrobial agents, respectively of ampicillin/shu ba jotham, ofloxacin, piperacillin/he azole, cefepime and tobramycin, their sensitive rate were higher than 20%, the rest of the 11 kinds of antimicrobial drug sensitive rate is below 20%, have higher percentages. With cefazolin, ampicillin, cefotetan, because with nitrofurantoin and ammonia QuNa all performance for the resistance. Conclusions To strengthen the drug resistance of acinetobacter baumannii monitoring and analysis, specification of antimicrobial agents application, to maintain sensitive antimicrobial agents of antimicrobial activity is of great significance.