摘要
目的:了解ICU患者的感染菌株分布和对常用抗生素的耐药性。方法:对2000年7月至2001年6月本院ICU所有分离的感染菌株及耐药性的回顾性分析。结果:223株病原菌以革兰氏阴性菌为主(115株)占51.57%,真菌(63株)占28.25%,革兰氏阳性菌(45株)占20.18%。革兰氏阴性菌以肺炎克雷伯菌肺炎亚种(39/115株,33.91%)为主,革兰氏阳性菌以金黄色葡萄球菌(21/45株,46.67%)为主,真菌以白假丝酵母菌(43/63株,68.25%)为主。革兰氏阴性菌对亚胺培南耐药率最低(27.83%),万古霉素对革兰氏阳性菌敏感率为84.44%,两性霉素B对真菌敏感率为69.84%。结论:明确ICU的菌株变迁和细菌耐药率的升高,有利于合理选择敏感抗生素。
Objective: To search for bacterial distribution and analysis of drug resistance in Intensive Care Unit(ICU).Methods: Bacterial distribution and drug resistance in ICU from July 2000 to June 2001 were analyzed retrospectively.Results: Gram-negative bacteria was 51.57%, fungi was 28.25% and Gram-positive bacteria was 20.18%. In Gram-negative bacteria Klebsiella pneumoniae was the major one (33.91%) and in Gram-positive bacteria Staphylococcus aureuswas most prominent (46.67%) and Candida albicans was the main type of fungi (68.25%). The resistance rate of Gram-negative bacteria accounted for Emipenem was the lowest (27.83%). The sensitive rate of Vancomycin to Gram-positivebacteria was 84.44% and Amphotericin B to fungi was 69.84%. Conclusions: Understanding the change of bacteria anddrug resistance rate in order to use antibiotics properly.
出处
《岭南急诊医学杂志》
2001年第4期241-243,共3页
Lingnan Journal of Emergency Medicine
关键词
感染菌株
ICU
抗生素
infectious bacteria
intensive care unit
antibiotics
