| 重症监护病房获得性感染病原菌耐药分析 |
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| 引用本文： | 宋海容,许培荣. 重症监护病房获得性感染病原菌耐药分析[J]. 医药论坛杂志, 2009, 0(15) |
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| 作者姓名： | 宋海容 许培荣 |
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| 作者单位： | 郑州大学第一附属医院检验科;郑州大学生物工程系; |
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| 摘 要： | 目的调查重症监护病房(ICU)医院感染的病原菌的构成、感染部位的分布及细菌耐药性监测,指导临床合理使用抗生素。方法采用法国梅里埃的vitek-II全自动细菌鉴定仪及配套的鉴定卡和药敏卡,对重症监护病房送检的各种标本按细菌检验常规程序操作。结果分离到病原菌343株,其中革兰氏阴性菌224株(65.31%),革兰氏阳性菌71株(20.70%),真菌48株(13.99%)。前3位病原菌为铜绿假单胞菌(16.33%)、产超广谱内酰酶(ESBLs)的肺炎克雷伯菌菌株(14.29%)、白色念珠菌(12.54%)。铜绿假单胞菌对头孢他啶、哌拉西林/他唑巴坦外,其余均不敏感。病原菌检出率以下呼吸道感染最高,占69.39%,其次是泌尿道(16.62%)。结论重症监护病房医院获得性感染以铜绿假单胞菌为主,耐药菌株多,耐药问题严重,应加强药性监测,合理使用抗生素,进行目标性细菌学监测治疗。
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| 关 键 词： | 医院获得性感染 病原菌 细菌耐药性 |
Analysis of Pathogens of Nosocomial Infection in Intensive Care Units and Related Drug-resistance |
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| SONG Hairong,XU PeirongThe First Affiliated Hospital of Zhengzhou University,Zhengzhou ,China. Analysis of Pathogens of Nosocomial Infection in Intensive Care Units and Related Drug-resistance[J]. Journal of Medical Forum, 2009, 0(15) |
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| Authors: | SONG Hairong XU PeirongThe First Affiliated Hospital of Zhengzhou University Zhengzhou China |
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| Affiliation: | SONG Hairong,XU PeirongThe First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China |
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| Abstract: | Objective To investigate the constitutions of pathogens of nosocomial infection in intensive care units,the distribution of the sites where infections taken place and the drug-resistance of bacteria.Methods The drug-resistance of bacteria of nosocomial infection in intensive care units have been analyzed by applying automatic analyzer vitek-II,with bacteria inspecting cards and drug-sensitivity cards,all from Bio-Merieux,France.Results Totally 343 strains of nosocomial pathogens have been isolated,which inc... |
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| Keywords: | Nosocomial infection Pathogens Drug resistance |
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