鲍曼不动杆菌所致感染的临床分析

目的了解鲍曼不动杆菌的临床分布情况及细菌对抗生素的耐药情况。方法分析126株鲍曼不动杆菌标本的来源、科室分布、抗生素耐药性。结果 95例鲍曼不动杆菌感染最常见的为呼吸系统疾病,标本以痰液为最多;耐药情况较重,耐药率最低的为多粘菌素B,其次为丁胺卡那及米诺环素,亚胺培南、美罗培南及头孢哌酮舒巴坦耐药率较高;患者全部有应用抗生素病史;多重耐药及泛耐药鲍曼不动杆菌共占菌株数的96.03%。结论加强对鲍曼不动杆菌耐药性的监控,减少耐药菌株的产生。

Clinical analysis of infection caused by Acinetobacter baumannii

Objective To learn the distribution of Acinetobacter baumannii bacteria in clinical and the drug resistance to common antibiotics.Methods A retrospective statistical analysis of 126 specimens of Acinetobacter baumannii,including specimen source,distribution departments of sample sections,antibiotic resistance,and general conditiong of the patients was made.Results The most common primary diseases of 95 patients infected by Acinetobacter baumannii were respiratory system diseases.Acinetobacter baumannii was mostly detected by sputum samples.The resistance of Acinetobacter baumannii was serious.Polymyxin B had the lowest resistance,amikacin and minocycline next to it.Imipenem,meropenem and Cefperazone Sulbactam had higher resistance.All patients had history of using antibiotics.Multi-drug resistant and Pan-drug resistant Acinetobacter baumannii were accounted for 96.03%.Conclusions The clinicians should use antibiotics reasonably,strengthen the monitoring of Acinetobacter baumannii resistance and reduce drug resistant strains.