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| 心脏外科重症监护病房革兰阳性球菌医院感染状况及耐药性分析 | |
| 引用本文： | 贾明,周晔,邵涓涓,施凌鹤,贺建勋,李京明,贾士杰.心脏外科重症监护病房革兰阳性球菌医院感染状况及耐药性分析[J].中华医院感染学杂志,2010,20(3). |
| 作者姓名： | 贾明 周晔 邵涓涓 施凌鹤 贺建勋 李京明 贾士杰 |
| 作者单位： | 1. 首都医科大学附属北京安贞医院心脏外科监护室,北京,100029 2. 首都医科大学附属北京安贞医院中心药房,北京,100029 3. 首都医科大学附属北京安贞医院检验科,北京,100029 |
| 摘 要： | 目的 调查医院心脏外科重症监护病房(ICU)革兰阳性球菌医院感染状况与耐药性.方法 分析2005年1月～2008年12月ICU医院感染患者各种标本所分离的革兰阳性球菌,采用VITEK-Jr全自动细菌鉴定及药敏分析系统鉴定细菌类别,纸片扩散(K-B)法进行药敏试验,应用WHONET5.4进行数据分析.结果 共分离革兰阳性球菌164株,其中葡萄球菌属133株,肠球菌属24株,链球菌属7株;呼吸道感染82例(50.0%),血液感染33例(20.1%),其他部位感染49例(29.9%);前3位致病菌为表皮葡萄球菌50株(30.5%),溶血葡萄球菌25株(15.2%),金黄色葡萄球菌23株(14.0%);耐甲氧西林的金黄色葡萄球菌(MRSA)和凝固酶阴性葡萄球菌(MRCNS)分别为65.2%和97.2%,葡萄球菌属对常用抗菌药物耐药严重,未发现对耐万古霉素葡萄球菌及粪肠球菌和屎肠球菌.结论 革兰阳性球菌是ICU医院感染的重要病原菌,且有增加趋势,万古霉素保持良好的抗菌活性. |
| 关 键 词： | 心脏手术 医院感染 革兰阳性球菌 耐药性 |
Distribution and Antibiotics Resistance of Nosocomial Gram-positive Cocci Infection in Intensive Care Unit of Cardiac Surgery |
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| JIA Ming,ZHOU Ye,SHAO Juan-juan,SHI Ling-he,HE Jian-xun,LI Jing-ming,JIA Shi-jie.Distribution and Antibiotics Resistance of Nosocomial Gram-positive Cocci Infection in Intensive Care Unit of Cardiac Surgery[J].Chinese Journal of Nosocomiology,2010,20(3). | |
| Authors: | JIA Ming ZHOU Ye SHAO Juan-juan SHI Ling-he HE Jian-xun LI Jing-ming JIA Shi-jie |
| Institution: | JIA Ming,ZHOU Ye,SHAO Juan-juan,SHI Ling-he,HE Jian-xun,LI Jing-ming,JIA Shi-jie(Affiliated Beijing Anzhen Hospital,Capital University of Medical Sciences,Beijing 100029,China) |
| Abstract: | OBJECTIVE To investigate the clinical distribution and antibiotics resistance of nosocomial Gram-positive cocci infection in ICU of cardiac surgery.METHODS The clinical data of postoperative patients with microbiologically documented nosocomial infection from Jan 2005 to Dec 2008 were retrospectively analyzed.Bacterial identification was performed in an automatic VITEK-Jr Expression system and antimicrobial susceptibility testing by Kirby-Bauer method.The results were analyzed by WHONET5.4.RESULTS There wer... |
| Keywords: | Cardiac surgical procedures Nosocomial infections Gram-positive cocci Drug resistance |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |