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急诊监护病房感染患者408例病原菌及耐药分析
引用本文:章晓红,董芸,邓磊,李依,李俊英,陈友岱,周平,王建东. 急诊监护病房感染患者408例病原菌及耐药分析[J]. 临床和实验医学杂志, 2010, 9(19): 1459-1461
作者姓名:章晓红  董芸  邓磊  李依  李俊英  陈友岱  周平  王建东
作者单位:四川省人民医院急诊ICU,四川,成都,610072
摘    要:目的了解我院急诊监护病房感染患者病原菌分布及其耐药现状。方法对2007年12月至2009年6月四川省人民医院急诊监护病房(EICU)感染患者分离的细菌及其耐药率进行监测。结果 273份临床分离菌株多为耐药菌,革兰阴性杆菌占68.1%,革兰阳性球菌占24.2%,真菌占7.7%;大肠埃希杆菌和肺炎克雷伯菌中超广谱β-内酰胺酶(ESBLs)的检出率分别为76.9%与75.0%;甲氧西林耐药金黄色葡萄球菌(MRSA)的检出率为83.3%,甲氧西林耐药凝固酶阴性葡萄球菌(MRCNS)的检出率为85.7%;万古霉素和替考拉宁对革兰阳性球菌的抗菌活性最强,亚胺培南对ESLBs菌的抗菌活性最强,但鲍曼不动杆菌、铜绿假单胞菌对亚胺培南的耐药率分别是73.9%和71.4%。结论 EICU感染患者病原因构成比略有特色,霉菌感染检出率较低。本组资料对EICU感染的抗菌药物选用有参考价值。

关 键 词:急诊监护病房  感染  病原菌  耐药性

Study on the resistance to antibiotics of the isolated pathogens of 408 patients with severe infection from intensive care unit.
ZHANG Xiao-hong,DONG Yun,DENG Lei,et al.. Study on the resistance to antibiotics of the isolated pathogens of 408 patients with severe infection from intensive care unit.[J]. Journal of Clinical and Experimental Medicine, 2010, 9(19): 1459-1461
Authors:ZHANG Xiao-hong  DONG Yun  DENG Lei  et al.
Affiliation:ZHANG Xiao-hong,DONG Yun,DENG Lei,et al.Department of Emergency,Sichuan Medical Science Academy and People's Hospital of Sichuan Province,Chengdu Sichuan 610072,China.
Abstract:Objective To investigate the types and antibiotic resistance of infection pathogens of patients with severe infection from emergency intensive care units(EICU).Methods Pathogenic bacteria were isolated from patients with severe infection in EICU from December of 2007 to June of 2009.ATB and VITEK-32 were applied to carry out the sensitive test.Results The rate of the drug fast is very high.Of 273 clinical isolates,gram negative organism accounted for 68.1%,gram positive organisms for 24.2% and the mycetes f...
Keywords:Emergency intensive care unit  Infection  Pathogenic bacteria  Drug resistance  
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