嗜麦芽寡氧单胞菌医院感染的危险因素研究  

STUDY ON RISK FACTORS OF NOSOCOMIAL INFECTION WITH STENOTROPHOMONAS MALTOPHILIA

作　　者：宗春光[1] 李军[1] 尹成淑[1] 刘敏[1] 王兆鹏[1] 孙启玉[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《中国消毒学杂志》2013年第2期118-120,共3页Chinese Journal of Disinfection

摘　　要：目的了解嗜麦芽寡氧单胞菌医院感染的危险因素及耐药情况,为合理使用抗菌药物提供依据。方法采用回顾性调查方法,对本医院住院75例嗜麦芽寡氧单胞菌感染患者资料进行了调查与分析。结果引发嗜麦芽寡氧单胞菌感染的危险因素有病人高龄、伴严重基础疾病、使用广谱抗生素及创伤性操作等。感染标本分离的嗜麦芽寡氧单胞菌对亚胺培南、氨基糖苷类及大部分头孢菌素类抗菌药物呈高度耐药,对左氧氟沙星和复方新诺明比较敏感。结论嗜麦芽寡氧单胞菌感染危险因素无特殊现象,该细菌对多数抗菌药物具有较高的耐药性,提示临床加强药敏试验,合理用药。Objective To understand the Stenotrophononas maltophilia nosocomial infection risk factors and drug resistance in order to provide the basis for rational use of antibacterial drugs.Methods The retrospective survey was used to investigate and analyze the data of 75 cases of Stenotrophomonas maltophilia infected patients in our hospital.Results The risk factors for infection with Stenotrophomonas maltophilia were patient age,with severe basic diseases,long time of hospitalization,the use of broad-spectrum antibiotics and traumatic operation.Stenotrophomonas maltophilia isolated from infection was highly resistant to Imipenem,Aminoglycosides and most β-lactam antibiotics and was sensitive to Cefoperazone/Sulbactam and Cotrimoxazole.Conclusion The Stenotrophononas maltophilia infection risk factors have no special phenomenon.This bacteria have high resistance on the majority of antibacterial drugs.So the clinical drug sensitivity test and rational use of drugs should be strengthened.

关 键 词：嗜麦芽寡氧单胞菌 医院感染 危险因素 耐药性 抗菌药物 

分 类 号：R181.32[医药卫生—流行病学]