我院49例鲍氏不动杆菌的临床分布及耐药状况分析

Analysis of clinical characteristics and drug resistance status of Acinetobacter baumannii from 49 patients in Mianyang People's Hospital

目的:分析我院鲍氏不动杆菌的临床特点和耐药状况。方法:收集2009年7～12月从我院住院患者中分离出的鲍氏不动杆菌进行药敏和临床特点分析。结果:分离出的鲍氏不动杆菌以下呼吸道为主,主要来自呼吸内科,年龄分布以中老年为主,对碳青霉烯类抗生素的耐药性最低为8.16%,对其他12种抗菌药物的耐药率均>40.00%,多重耐药菌株多源于ICU、烧伤病房。结论:鲍氏不动杆菌的耐药率很高,临床治疗应根据药敏结果合理应用抗生素,提高医务工作者院内感染的意识,同时加强医院大环境、工作人员和患者的消毒,以防止鲍氏不动杆菌的传播和多重耐药菌株的产生。

Objective：To analyze the clinical characteristics and drug resistance status of Acinetobacter baumannii in our hospital.Methods：From July to December 2009,collected Acinetobacter baumannii among hospitalized patients from our hospital and analyzed drug susceptibility and clinical characteristics of Acinetobacter baumannii.Results：Isolated Acinetobacter baumannii were mainly from respiratory system and from the older age patients.The resistance rate of carbapenem was as the lowest as 8.16%,while the other 12 antimicrobial drugs were beyond 40.00%.Multidrug-resistant strains most came from the patients of ICU and burn ward.Conclusion：The resistance rate of acinetobacter baumannii is very high and clinical treatment should rationally use antibiotic based on drug sensitivity.To prevent the acinetobacter baumannii trans mission and the appearance of multiple drug-resistant,we should improve awareness of nosocomial infection in medical workers and enhance the hospital environment,staff and patients of disinfection.