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医院重症监护病房非发酵菌感染的耐药性监测
引用本文:王峰,汪丽,徐冲波.医院重症监护病房非发酵菌感染的耐药性监测[J].中国预防医学杂志,2010(1):86-88.
作者姓名:王峰  汪丽  徐冲波
作者单位:宁波市医疗中心李惠利医院检验科;宁波大学医学院附属医院;
摘    要:目的分析近两年来医院重症监护病房(ICU)非发酵菌感染的临床分布及耐药特点,为临床合理用药提供依据。方法应用VITEK-32型全自动微生物分析仪对临床分离株进行菌种鉴定,采用K-B纸片扩散法进行药敏试验,结果用WHONET5.3软件进行统计分析。结果2007年1月~2008年12月ICU共检出非发酵菌95株,分离率居前3位的依次为鲍曼不动杆菌(68.4%)、铜绿假单胞菌(16.8%)和嗜麦芽窄食单胞菌(8.4%);非发酵菌的感染部位以下呼吸道最常见(78.9%);常见非发酵菌对多种抗菌药物表现为较高的耐药性。结论ICU非发酵菌感染呈多重耐药现象,应加强耐药性监测,根据体外药敏试验结果选用敏感的抗菌药物。

关 键 词:重症监护病房  非发酵菌  耐药性

Surveillance of drug resistance of non-fermentative bacteria in intensive care units
WANG Feng,WANG Li,XU Chong-bo.Clinical Laboratory,the Ningbo Medical Center,Li Huili Hospital,Ningbo,Zhejiang ,China.Surveillance of drug resistance of non-fermentative bacteria in intensive care units[J].China Preventive Medicine,2010(1):86-88.
Authors:WANG Feng  WANG Li  XU Chong-boClinical Laboratory  the Ningbo Medical Center  Li Huili Hospital  Ningbo  Zhejiang  China
Institution:WANG Feng,WANG Li,XU Chong-bo.Clinical Laboratory,the Ningbo Medical Center,Li Huili Hospital,Ningbo,Zhejiang 315040,China
Abstract:Objective To analyze the clinical distribution and drug resistance of non-fermentative bacteria isolated from intensive care units(ICUs)in recent 2 years,and to provide evidence for clinical rational use of drugs. Methods VITEK-32 automated system was applied to identify clinically isolated strains and drug sensitive assays were done by K-B disc diffusion method. The data were statistically analyzed by WHONET 5.3 software. Results A total of 95 strains were isolated from ICUs during the period of January 20...
Keywords:Intensive care unit  Non-fermentative bacteria  Drug resistance  
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