鲍氏不动杆菌医院感染及其耐药性变化趋势

目的了解鲍氏不动杆菌医院感染耐药性变化趋势。方法分析2002-2005年分离医院感染患者标本的鲍氏不动杆菌及其耐药率资料。结果4年间共分离到鲍氏不动杆菌173株,主要以患者痰标本为主,分布率为84.40%;科室分布主要是重症监护病房(ICU)居首位,合计分布率为55.49%;鲍氏不动杆菌总体耐药普遍较高,呈逐年上升趋势。结论临床医生要重视病原学监测,做到早培养、早治疗,规范抗菌药物使用,规范医务人员手部清洁和消毒,避免耐药菌株的产生和播散。

Infection and Antibiotic Resistance of Acinetobacter baumannii

OBJECTIVE To analyze the trend of infections and the antibiotic resistance of Acinetobacter baumannii.METHODS By making an assay of total strains of A.baumannii and their antibiotic resistance from all the patients in Union Hospital from the years of 2002 to 2005.RESULTS A total of 173 strains of A.baumannii were isolated in last four years,which mainly come from the sputum sample of patients.In the distribution of hospital departments,intensive care unit(ICU) was the most.The antibiotic resistance rate of A.baumannii,showed from the data,was generally high and increased by years.CONCLUSIONS We emphasize that clinicians need to be taken seriously to pathogen monitoring.Bacterial culture and early treatment are quite important.Attention should also be paid to regulating the use of antibiotics,standardizaing the medical staff of hand washing,and disinfecting to prevent the emergence and spread of drug-resistant strains.