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3种常见肠杆菌科细菌耐药性变迁调查
引用本文:陈孝进,彭兰. 3种常见肠杆菌科细菌耐药性变迁调查[J]. 中华医院感染学杂志, 2006, 16(1): 112-113
作者姓名:陈孝进  彭兰
作者单位:湖北省兴山县医疗中心,湖北,兴山县,443711
摘    要:目的探讨本地区肺炎克雷伯菌、大肠埃希菌和阴沟肠杆菌的感染现状和耐药性变迁,为合理使用抗生素提供理论依据。方法用常规方法分离鉴定病原菌,用K-B法作体外耐药监测。结果3种常见肠杆菌科细菌中肺炎克雷伯菌分离率居首位,大肠埃希菌次之;5年中,3种菌对12种常用抗生素耐药率总体呈上升趋势,且产超广谱β-内酰胺酶(ESBLs)菌检出率由2000年16.5%上升到2004年32.4%,呈现上升趋势。结论临床应加强合理使用抗生素管理,控制耐药菌的产生和医院感染暴发流行。

关 键 词:肠杆菌科细菌  超广谱β-内酰胺酶  耐药性
文章编号:1005-4529(2006)01-0112-02
收稿时间:2005-09-13
修稿时间:2005-11-10

Antibiotics Resistance Status Changing among 3 Kinds of Bacteria in Enterobacteriaceae
CHEN Xiao-jin,PENG Lan. Antibiotics Resistance Status Changing among 3 Kinds of Bacteria in Enterobacteriaceae[J]. Chinese Journal of Nosocomiology, 2006, 16(1): 112-113
Authors:CHEN Xiao-jin  PENG Lan
Affiliation:Xingshan Medical Center, Xingshan, Hubei 443711, China
Abstract:OBJECTIVE To investigate the drug resistance status of Klebsiella pneumoniae,Escherichia coli and(Enterobacter cloacae) for reasonable use of antibiotics. METHODS After genus identification,drug resistance profile was analyzed by K-B method. RESULTS The predominant isolates from Enterobacteriaceae were(K.penumoniae) and E.coli.The resistant rate of the three commonly encountered bacteria in Enterobacteriaceae to antibiotics ascended yearly,with increasing isolates harboring ESBLs from 16.5%(2000) to 32.4%(2004). CONCLUSIONS Rational use of antibiotics should be obey the results of laboratory antibiotics susceptibility test to control the increasing trend and forbid outbreak of resistance.
Keywords:Enterobacteriaceae  ESBLs  Drug resistance
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