嗜麦芽假单胞菌医院感染分析  

Nosocomial Infection Caused by Pseudomonas Maltophilia

作　　者：徐森花[1] 祝进[1] 申桂娟[1] 孙平平[1] 

机构地区：[1]浙江省衢州市人民医院,中国浙江衢州324000

出　　处：《实用预防医学》2004年第2期269-271,共3页Practical Preventive Medicine

摘　　要：目的　了解嗜麦芽假单胞菌的医院感染现状及其耐药性的变化 ,为临床防治提供依据。　方法　回顾性分析我院 2 0 0 0～ 2 0 0 2年嗜麦芽假单胞菌医院感染病例 ,统计分析 2 0 0 0～ 2 0 0 2年嗜麦芽假单胞菌的耐药性变化。　结果　嗜麦芽假单胞菌感染主要发生在重症监护病房 (3 7 5 % )、神经外科 (2 1 88% )和呼吸内科 (9 3 8% ) ;感染部位主要是呼吸道 (90 63 % ) ;头孢噻肟、头孢三嗪、亚胺硫霉素连续三年都是 10 0 %耐药。　结论　危重患者神经外科、呼吸内科是嗜麦芽假单胞菌的易感人群。因嗜麦芽假单胞菌对多种抗生素耐药 ,治疗困难 ,宜尽早加强耐药性监测 ,合理应用抗生素非常重要。ObjectiveTo investigate the information about the present nosocomial infection characteritics and drug resistance of stenotrophomonas maltophilia.MethodsNosocomial infection caused by stenotrophomonas maltophilia was retrospectively analyzed among the cases from 2000 to 2002 in our hospital. The change in drug resistance of stenotrophomonas mal tophilia during 2000～2002 was also anlayzed.ResultThe main departments happened frequently with nosocomial infection caused by stenotrophomunas maltophilia were ICU(37.5%), nerve surgery department(21.88%) and respiration department(9.38%). The common infection site was respiratory tract(90.63%). The ratio of resistance for cefotaxime, ceftriaxone imipenem against stenotrophomonas maltophilia was 100% during 2000～2002.Conclusion Severe patients in neurological surgery department and respiratory department are susceptible population to stenotrophomonas maltophilia. Many kinds of antibiotics are ineffective to this specific infection so it is very important to select antibiotics correctly according to the susceptibility tests.

关 键 词：嗜麦芽假单胞菌 医院感染 耐药性 

分 类 号：R739.9[医药卫生—肿瘤]