| 血培养分离菌5年变迁与耐药性分析 |
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| 引用本文： | 郝秀红,马骢,陆季蘅,齐永志,刘敏.血培养分离菌5年变迁与耐药性分析[J].军医进修学院学报,2009,30(2). |
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| 作者姓名： | 郝秀红 马骢 陆季蘅 齐永志 刘敏 |
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| 作者单位： | 1. 海军总医院检验科,北京,100037
2. 首都师范大学附属中心,北京,100048 |
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| 摘 要： | 目的:了解我院血培养中的细菌分布和耐药情况,为临床治疗提供依据.方法: 采用北京伯泰技术开发中心血培养瓶采样, BacT ALERT 3D全自动血培养仪进行培养, VITEK微生物仪进行鉴定, BIOMIC仪进行药敏测试.结果: 2003年1月-2007年12月从临床送检的血培养标本分离出病原菌326株,其中革兰阳性菌141株(占45.4%),以凝固酶阴性葡萄球菌为主,其次是金黄色葡萄球菌;革兰阴性杆菌155株(占47.9%),以大肠埃希菌为主,其次是肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌.大肠埃希菌及克雷伯菌对泰能敏感性最好, 表皮葡萄球菌及金黄色葡萄球菌对万古霉素和替考拉宁敏感性最好,均未发现耐药株;铜绿假单胞菌对头孢吡肟的耐药率为28.0%,其余抗菌药物均有不同程度的耐药.结论: 血培养病原菌存在严重耐药情况,及时监测病原菌变化及耐药趋势,指导临床用药至关重要.
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| 关 键 词： | 抗药性 多种 细菌 革兰氏阳性菌感染 革兰氏阴性菌感染 |
Distribution and drug resistance of pathogenic bacteria in five-year blood cultures |
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| HAO Xiu-hong,MA Cong,LU Ji-heng,QI Yong-zhi,LIU Min.Distribution and drug resistance of pathogenic bacteria in five-year blood cultures[J].Academic Journal of Pla Postgraduate Medical School,2009,30(2). |
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| Authors: | HAO Xiu-hong MA Cong LU Ji-heng QI Yong-zhi LIU Min |
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| Institution: | 1.Laboratory of Navy General Hospital;Beijing 100037;China;2.High School attached to CNU;Beijing 100048;China |
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| Abstract: | Objective:To investigate the distribution and drug resistance of pathogenic bacteria in blood culture in order to provide evidence for the treatment of diseases in clinical practice.Methods:Blood samples were put into blood culture bottles(Beijing Botai Technique Development Center)and cultured in the BacT ALERT 3D automated blood culture system.Isolated bacteria were identified with the VITEK system.Drug sensitivity was tested using the BIOMIC.Results:From January 2003 to December 2007,326 strains of patho... |
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| Keywords: | drug resistance multiple bacterial gram-positive bacterial infections gram-negative bacterial infections |
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