3所医院消化道医院感染病原菌的分布及耐药性  

Distribution and drug resistance of pathogenic bacteria causing gastrointestinal tract infection in three hospitals

作　　者：黄才俊 洪玲萍[2] 王伟平[3] 余素飞[4] 

机构地区：[1]临海中医院检验科,浙江临海317000 [2]台州医院人力资源部,浙江临海317000 [3]台州市第一人民医院检验科,浙江黄岩318020 [4]台州医院检验科,浙江临海317000

出　　处：《中华医院感染学杂志》2011年第7期1478-1479,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨消化道医院感染病原菌的分布和耐药特征,以指导临床合理用药。方法回顾性调查2008年8月1日-2010年7月31日3所医院临床诊断消化道医院感染,粪便培养病原菌阳性标本。结果 3所医院共检出病原菌431株,其中台州医院262株,台州市第一人民医院134株,临海市中医院35株;消化道医院感染病原菌以真菌、肠球菌属为主要发生菌,分别占51.2%、21.3%,其次为金黄色葡萄球菌、铜绿假单胞菌、其他革兰阴性杆菌,分别占9.5%、8.4%、9.5%。结论真菌在消化道医院感染中占有绝对的比例,并且表现出较大的耐药性,一些常见致病菌在消化道医院感染中也表现出较高的耐药性,值得重视。OBJECTIVE To investigate the distribution of pathogens causing gastrointestinal infection and drug resistance characteristics,so as to guide the rational application of antibiotics.METHODS The gastrointestinal tract infections diagnosed in three hospitals from Aug.1,2008 to July 31,2010 were retrospectively investigated.Positive specimens of fecal pathogens were cultured.RESULTS A total of 431 strains of pathogenic bacteria were detected,including 262 strains in Taizhou Hospital,134 strains in The First People′s Hospital of Taizhou and 35 strains in Linhai Hospital of Traditional Chinese Medicine gastrointestinal fungal pathogens of nosocomial infection in（51.2%）,Enterococcus（21.3%） were mainly bacteria,followed by Staphylococcus aureus（9.5%） Pseudomonas aeruginosa（8.4%） and some other Gram-negative bacilli（9.5%）.CONCLUSION Fungi are the main pathogens causing gastrointestinal tract infection and present serious drug resistance,and some common pathogens show greater resistance in gastrointestinal tract infection.

关 键 词：消化道 医院感染 耐药性 

分 类 号：R378[医药卫生—病原生物学]