宁夏医院感染监控网医院感染病原菌及耐药性分析  

Bacterial Distribution and Antimicrobial Resistance of Nosocomial Infection in Ningxia:Monitoring by Ningxia Hui Autonomous Region Nosocomial Infection Surveillance System

作　　者：杨宝忠[1] 朱琪[1] 栾丽莉[1] 温言[1] 祁学祥[1] 

机构地区：[1]宁夏医科大学附属医院感染科,宁夏银川750004

出　　处：《中华医院感染学杂志》2009年第20期2783-2785,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解宁夏医院感染常见病原菌的分布及耐药性变化,以指导临床合理使用抗菌药物。方法统计分析宁夏医院感染监控网2003年1月-2007年12月,医院感染病原菌及其耐药情况。结果共分离病原菌3276株,其中G-菌1752株(53.48%),G+菌1471株(44.90%),真菌53株(1.62%);其中大肠埃希菌(909株)、金黄色葡萄球菌(509株)、表皮葡萄球菌(260株)、粪肠球菌(258株)、铜绿假单胞菌(206株)占前5位。结论大部分医院感染病原菌为多药耐药菌,应加强病原菌培养及药敏检测,指导临床合理使用抗菌药物。OBJECTIVE To observe bacterial distribution and drug resistance in Ningxia. METHODS The patients with nosocomial infection mornitored by Ningxia Hui Autonomous Region Nosocomial Infection Surveillance System from Jan 2003 to Dec 2007 were analyzed and summarized. RESULTS Amomg 3276 isolates, 1752 strains （53. 48%） were Gram-negative bacilli, 1471 strains （44.9%） were Gram-positive cocci and, 53（1.62%） fungi. The most common pathogens were Escherichia coli （909）, Staphylococcus aureus （509）, S. epidermidis （ 260 ） , Enterococcus faecalis（258）, and Pseudomonas aeruginosa （206）. Most of them were multidrug resistant. Most strains of Gram-negative bacilli were highly susceptible to imipenem, while most strains of Gram-positive cocci were highly susceptible to vancomycin. CONCLUSIONS Most pathogens of nosocomial infection are multidrug resistant, the resistance detection of bacteria has an important significance to clinical treatment and infection control.

关 键 词：医院感染 病原菌 耐药性 

分 类 号：R378[医药卫生—病原生物学]