肠外感染嗜水气单胞菌的临床分布及耐药性分析  

Distribution and antimicrrobial resistance of extraintestinal parenteral Aeromonas hydrophila

作　　者：王施施[1] 杨锦红[1] 刘彩霞[1] 杨海蔚[1] 王慧燕[1] 李方去[1] WANG Shi - shi YANG Jin - hong LIU Cai - xia YANG Hai - wei WANG Hui -yan LI Fang - qu(Clinical Laboratory, Yuying Children＇s Hospital, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, Chin)

机构地区：[1]温州医科大学附属第二医院育英儿童医院医学检验中心,浙江温州325027

出　　处：《中国卫生检验杂志》2017年第5期736-737,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析嗜水气单胞菌的临床科室分布和耐药性,为临床合理使用抗菌药物提供参考依据。方法对2011年-2015年肠道外分离的嗜水气单胞菌采用WHONET 5.6进行菌株和药物敏感性分析,数据用Excel进行统计处理。结果79株嗜水气单胞菌的标本来源以创口为主,占67.1%;临床科室分布以手外科为主,占24.1%;药物敏感性结果显示,嗜水气单胞菌对氨苄西林/舒巴坦、氨苄西林有较高的耐药率。结论嗜水气单胞菌引起的肠外感染以创口感染为主,且以中老年人和夏秋季多见。临床上治疗要根据药敏结果合理用药,减少耐药菌株的产生。机体应提升自身免疫力,避免接触污水,受天然水污染的伤口应及时清洁消毒。Objective To analyze clinical distribution and antimicrobial resistance of Aeromonas hydrophila, so as to provide reference for the clinical rational use of antibiotics. Methods WHONET 5.6 was used to analyze the strains and drug sensitivi- ty of parenteral isolated Aeromonas hydrophila during 2011 -2015, and the data were processed by Excel. Results 79 strains of Aeromonas hydrophila specimen sourced to the wound, accounted for 67.1% ; clinical distribution were mainly in department of hand surgery, accounted for 24.1% ; the results of drug sensitivity showed that Aeromonas hydrophila were high resistant to ampi- eillin/sulbactam and ampicillin. Condusion Parenteral infection caused by Aeromonas hydrophila mainly come from wound in- fection, which mainly occur in summer and autumn among elderly people. Clinical treatment should be based on the results of drug sensitivity and rational use of drugs to reduce the generation of drug - resistant strains. People should enhance their immunity to a- void contact with sewage, and the wound contaminated by water should be treated timely for cleaning and disinfection.

关 键 词：嗜水气单胞菌 肠道外感染 标本来源 药物敏感性 

分 类 号：R446.5[医药卫生—诊断学]