2009-2011年住院患者临床分离肠球菌耐药性分析 |
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引用本文: | 王伟,马冰,王妍妍,李闯,赵永新.2009-2011年住院患者临床分离肠球菌耐药性分析[J].中国民康医学,2013,25(7):24-25,83. |
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作者姓名: | 王伟 马冰 王妍妍 李闯 赵永新 |
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作者单位: | 1. 新乡医学院第三附属医院,河南新乡,453003 2. 河南省人民医院 |
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摘 要: | 目的:分析2009-2011年我院临床分离肠球菌的耐药特点及流行分布,为合理治疗肠球菌感染提供依据。方法:收集我院住院及门诊患者连续分离的、不重复的肠球菌92株,以2010CLSI纸片扩散法为判断标准,对分离菌进行耐药性分析。结果:3年来从各种临床标本中共分离到粪肠球菌52株,屎肠球菌23株。标本主要来源于尿液(41%)和腹腔引流液(24%)。屎肠球菌对青霉素类、氟喹诺酮类、大环内酯类和高水平庆大霉素的耐药性均高于粪肠球菌;未检出耐万古霉素和利奈唑胺的肠球菌。结论:屎肠球菌的耐药性高于粪肠球菌,应加强对屎肠球菌的耐药监测,防止多重耐药菌的发生和传播。
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关 键 词: | 肠球菌 抗生素 耐药性 |
Surveillance of antimicrobial resistance in Enterococcus isolating from inpatients during 2009 and 2011 |
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Institution: | WANG Wei, MA Bing, WANG Yan -yan, et al (1. The third affiliated hospital of Xinxiang medical hospital,Henan 453003, China; 2. Henan people's hospital) |
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Abstract: | Objective:To investigate the distribution and antimicrobial resistance in enterococcus from our hospital, and provide a basis for rational treatment of enterococcal infections. Methods : A total of 92 non - duplicate nosocomial enterococcus was collected from inpatients. The antimicrobial susceptibility test was carried out by Kirby - Bauer method , then to analyze the data. Results: During the past 3 years, 52 strains of Enterococcus faecalis and 23 strains of Enterococcus faecium were isolates from a variety of clinical specimens. The majiority of strains were isolated from urine(41% ) and Abodominal fluid (24%). The antimicrobial resistance of Enterococcus faecium showed higer to Penicillins,Fluoroquinolones,Macrolides and Aminoglycosides than Enterococcus faecalis; Van- comycin - resistant and Linezolid - resistant Enterococcus were not found. Conclusions: The antimicrobial resistance of Enterococcus faecium showed higer than Enterococcus faecalis,It is essential to strengthen the isolates measures in order to minimize further emer- gence and dissemination of antimicrobial resistance. |
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Keywords: | Enterococcus Antimicrobial agents Resistance |
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