山西省芮城县3所医院葡萄球菌污染与药敏试验检测

Staphylococcus Contamination and Its Drug Sensitivity Test in 3 Hospital in Ruicheng City of Shanxi Province

目的了解山西省芮城县3所医院中葡萄球菌污染状况、污染菌株及金黄色葡萄球菌对常用抗生素的药敏试验。方法对医院病房中、护士办公室物体表面、护士手葡萄球菌污染的情况进行了检测,并对所获菌株进行了分类鉴定及药敏试验。结果对先锋Ⅴ高度敏感者31株,菌必治高度敏感者30株,庆大霉素高度敏感者25株;对洁霉素耐药16株,红霉素耐药16株,对青霉素G耐药9株。结论烧伤科病房金黄色葡萄球菌污染较轻,产科、儿科、外科病房污染均较严重,表皮葡萄球菌的检出率相当高(95.8%),应引起注意。金黄色葡萄球菌对先锋V、庆大霉素、菌必治敏感株较多;对青霉素G、洁霉素、红霉素耐药株较多。

[ Objective] To understand staphylococcus contamination in 3 hospitals, sensitive test of common antibiotics for contaminated strains and staphylococcus aureus. [ Methods ] Staphylococcus contamination of hospital wards, nursing office surface and nurses＂ hands were detected, and the obtained strains were conducted Identification and sensitivity test. [ Results] 31 were highly cephazolin sensitive strains, 30 highly cefiriaxone sodium sensitive strains, and 25 highly gentamycin-sensitive strains. 16 strains were tested resistant to lincomycin, another 16 to erythromycin and 9 to Penicillin G. [ Conclusion] Contamination caused by S. aureus is not serious in the bum wards, while in the gynaecology, pediatrics and surgery wards the situation is considerably worse with a relatively high detectable rate（ 95.8% ） of S. epidermidis, which deserves our attention; more strains of S. aureus are sensitive to cephazolin, gentamycin and ceftriaxone sodium but resistant to penicillin G4 lincomycin and ethromycin.