我院2005～2007年抗菌药物使用与常见感染病原菌耐药情况分析

目的:了解我院2005～2007年抗菌药物的使用情况及病原菌的分布与耐药性。方法:根据我院2005～2007年检出细菌耐药情况与药品管理记录进行统计分析。结果:大肠埃希菌产超广谱β-内酰胺酶率呈逐年上升趋势;耐甲氧西林金黄色葡萄球菌占金黄色葡萄球菌总数的比例为79.4%、66.3%、73.9%;抗菌药物的使用频率逐年上升,使用最多的2类抗菌药物为第3代头孢菌素和氟喹诺酮类。结论:临床医师应合理选用抗菌药物,减少细菌耐药。

Analysis of the Use of Antibacterials and Drug Resistance of Common Pathogenic Bacteria Causing Hospital Nosocomial Inflection During the Period 2005～2007

OBJECTIVE:To investigate the use of antibacterials and to evaluate the distribution and drugs resistance of pathogenic bacteria causing hospital nosocomial infection between 2005 and 2007 in our hospital. METHODS:The antibiotic resistance and the data of drug use from 2005 to 2007 in our hospital were analyzed statistically. RESULTS:Over the 3 years,the production rate of ESBLs of Escherichia.coli ascended year by year. The proportion of methicillin resistant staphylococcus aureus (MRSA) in staphylococcus aureus were 79.4%,66.3% and 73.9% respectively over the 3 years. The DDDs of antimicrobials showed an year-on-year increase,with third-generation cephalosporins and fluoroquinolones topping the first two places. CONCLUSION:Antibacterial drugs should be used rationally in clinical practice so as to reduce antibiotic resistance.