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2008年山东大学附属省立医院细菌耐药性监测
引用本文:张健,张之芬,高华,王勇. 2008年山东大学附属省立医院细菌耐药性监测[J]. 滨州医学院学报, 2009, 32(5): 349-352
作者姓名:张健  张之芬  高华  王勇
作者单位:山东大学附属省立医院,济南市,250021
基金项目:2007年山东省医药卫生科技发展计划 
摘    要:目的监测山东大学附属省立医院2008年临床分离株的耐药谱。方法收集患者首次非重复分离株1994株,其中革兰阴性菌1372株(68.8%),革兰阳性菌622(31.2%)。以CLSI推荐的纸片扩散法测定其抗菌药物敏感性,用WHO—NET5.3软件分析结果。结果除绿脓杆菌外,所有革兰阴性杆菌对碳青霉烯类药物敏感率均在87%以上,其次为舒普深(头孢哌酮/舒巴坦;68%以上);所有葡萄球菌对万古霉素100%敏感,MRSA和MRCNS的检出率分别为48.9%和81.8%,MRSA对氯霉素和MRCNS对利福平的敏感率为84.6%、90.1%,对其他药物均较耐药;屎肠球菌和粪肠球菌对万古霉素和利奈唑胺最敏感(100%,100%;98.3%,100%)。结论肠杆菌科细菌对碳青霉烯类仍最为敏感,但不发酵糖菌对其耐药率升高。葡萄球菌属中均未发现耐万古霉素菌株。

关 键 词:细菌  抗菌药物敏感性  耐药

Surveillance of antibiotic resistance in clinical isolates from Shandong Provincial hospital during 2008
ZHANG Jian,ZHANG Zhifen,GAO Hua,WANG Yong. Surveillance of antibiotic resistance in clinical isolates from Shandong Provincial hospital during 2008[J]. Journal of Binzhou Medical College, 2009, 32(5): 349-352
Authors:ZHANG Jian  ZHANG Zhifen  GAO Hua  WANG Yong
Affiliation:ZHANG Jian ZHANG Zhifen GAO Hua WANG YongSh,ong University Sh,ong Provincial Hospital,Jinan 250021
Abstract:Objective To investigate the antimicrobial resistance of clinical isolates in Shandong Provincial hospital during 2008.Methods A total of 1994 nonduplicate isolates were collected,of which 68.8% were gram-negative strains and 31.2% were gram-positive strains.The susceptibility was tested by disk diffusion method as recommended by CLSI.All the data were analyzed by WHONET 5.4 software.Results In addition to P.aeruginosa,more than 87% of the gram-negative bacilli were susceptible to carbapenems.That is follow...
Keywords:bacteria  antibiotic susceptibility  resistance  
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