耐甲氧西林葡萄球菌监测报告

A Repert on Monitoring Methicillin-Resistant Staphylococcus

本文报道了我们于1989年8月～1991年3月对耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林表皮葡萄球菌(MRSE)的监测结果。结果表明:从各种临床标本分离出的99株金黄色葡萄球菌中筛选出48株MRSA(48.5％),25株表皮葡萄球菌中筛选出17株MRSE(68.0％)。在MRSA感染患者中,从脓液中检出的机会最多,占39.6％;MRSE感染患者中,从尿和脓液中检出的机会较多,分别占35.3％和29.4％。从甲氧西林敏感的金黄色葡萄球菌(MSSA)和 MRSA对11种抗生素的敏感试验结果来看,MRSA对被试的11种抗生素的耐药率均高于MSSA。另外,本工作中首次检出1株对万古霉素耐药的MRSA株,值得高度重视。

This paper dealt with the monitoring results ofmethicillin- resistant Staphylococcus aureus(MRSA) and methicillin-resistant Staphylococcusepidermidis (MRSE) from August, 1989 to March1991, The results were as follows. For 48 strains ofMRSA from 99 ones of Staphylococcus aureus, thedetective rate accounted for 48.5%, For 17 strains ofMRSE from 25 ones of Staphylococcus epidermidis,the detective rate was 68.0%, Among the patients infected MRSA, the detective rate of MRSA fromabscess fluid was highest, accounting for 39.6%,Among the patients infected MRSE, the detectiverate of MRSE from urine or abscess fluid washigher, accounting for 35. 3% and 29. 4%,respectively. Compared the sensitivity results ofmethicillin- sensitive Staphylococcus aureus(MSSA) with those of MRSA to 11 antibiotics, theresistance of MRSA was higher than that of MSSA to11 antibiotics, Moreover, attention should be paidto that we detected one strain of MRSA resistant tovancomycin