某医院患者鲍曼不动杆菌感染临床分布及耐药性变迁  

Distribution and change in antimicrobial resistance of Acinetobacter baumannii infection in a hospital

作　　者：余虹 

机构地区：[1]景德镇市第二人民医院,江西景德镇333000

出　　处：《中国消毒学杂志》2015年第2期119-120,123,共3页Chinese Journal of Disinfection

摘　　要：目的了解住院患者鲍曼不动杆菌感染的临床分布及耐药性变迁,为合理应用抗菌药物提供依据。方法通过对某医院临床感染患者送检病原学标本的检测,了解鲍曼不动杆菌感染的临床分布和耐药性状况。结果该医院每年从临床分离的鲍曼不动杆菌株数,由2006年的12株增加到2013年的72株;每年检出的鲍曼不动杆菌感染病人有50%以上来自重症监护病房。临床分离鲍曼不动杆菌对头孢类抗菌药物耐药率从2006年的50%以下,增加到2013年的94%以上;对碳青霉烯类抗菌药物耐药率从2006年0,增加到2013年的60%以上。结论该医院住院病人鲍曼不动杆菌感染及耐药率均呈现逐年增加趋势,感染患者主要分布于重症监护病房,应加强监测,采取有效干预措施。Objective To investigate the distribution and change in antimicrobial resistance of Acinetobacter baumannii in hospital patients,so as to provide reference for rational use of antimicrobial agents. Methods Detection of the pathogenic samples of the infected patients in a hospital was used to know about the distribution and antimicrobial resistance of Acinetobacter baumannii. Results The number of Acinetobacter baumannii strains found in the pathogenic samples rose from 12 in year 2006 to 72 in year 2013; more than 50% of the infected patients were from ICU; the resistance rate of the Acinetobacter baumannii separated from the samples to antimicrobial agents like Cephalosporin rose from below 50% in year 2006 to above 94% in year 2013,and its resistance rate to Carbopenems rose from 0 in 2006 to 60% in 2013. Conclusion Both patients infected with Acinetobacter baumannii in this hospital and its resistance rate have increased year by year. Most of the infected patients were from ICU.

关 键 词：鲍曼不动杆菌 医院感染 耐药性 变迁 

分 类 号：R378[医药卫生—病原生物学]