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ICU357株肺炎克雷伯菌的耐药性分析 被引量:5

Drug resistance of 357 Klebsiella pneumobacillus strains isolated from ICU
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摘要 目的了解重症监护病房(ICU)内肺炎克雷伯菌的耐药情况,为临床医师合理用药提供参考依据。方法从2008-2010年ICU送检的不同标本鉴定分离得到357株肺炎克雷伯菌,通过药敏试验获得肺炎克雷伯菌对12种抗菌药物的药敏率。结果肺炎克雷伯菌对12种抗菌药物的耐药率中阿米卡星和亚胺培南相对较低,耐药率分别为31.93%、30.25%,但总体耐药率较高。结论该研究中,阿米卡星和亚胺培南是控制该菌的相对有效药物;临床医师可根据耐药率,合理选择抗菌药物,控制耐药菌株的流行及医院感染,尤其是ICU内的菌株数量。 OBJECTIVE To investigate the antibiotic resistance of Klebsiella pneumobacillus,and to provide reference to clinicist of using the medicine rationally.METHODS A total of 357 strains K.pneumobacillus from the different samples sent by ICU from 2008 to 2010 were isolated and identified.After the drug sensitive test,the drug resistance rate,intermediate rate and sensitivity rate of the bacteria to the twelve drugs were acquired.RESULTS Among the drug resistance rates,amikacin(31.93%) and imipenem(30.25%) were relatively low.But to the over trends,the drug resistance rates were still high.CONCLUSION In the study,amikacin and imipenem are the relatively effective drugs.The clinicians should control the strains,especially in the ICU.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2011年第19期4144-4145,共2页 Chinese Journal of Nosocomiology
关键词 重症监护病房 肺炎克雷伯菌 药敏试验 耐药率 ICU Klebsiella pneumobacillus Drug sensitive test Drug resistance rate
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  • 1王东浩,王伟,王勇强,曹书华.重症监护病房获得性细菌感染临床调查[J].中华医院感染学杂志,2004,14(2):151-153. 被引量:127
  • 2文细毛,任南,吴安华,徐秀华,李洁.全国医院感染监控网老年患者医院感染病原菌及其耐药特征分析[J].中华医院感染学杂志,2005,15(12):1346-1348. 被引量:125
  • 3宋青,周飞虎,王秀英.重症监护病房细菌分布与变迁分析[J].中华医院感染学杂志,2006,16(9):1072-1074. 被引量:28
  • 4李健,李.重症监护病房408例痰标本细菌培养和耐药性[J].中华医院感染学杂志,2006,16(10):1189-1191. 被引量:22
  • 5张幸国,杜小幸,张嵘,魏泽庆,俞云松,陈亚岗,李兰娟.发现一株产KPC-2型碳青霉烯酶肺炎克雷伯菌[J].中华检验医学杂志,2006,29(9):824-826. 被引量:60
  • 6Jones CH, Tuckman M, Keeney D, et al. Characterization and se- quence analysis of extended-spectrum-β-lactamase-encoding genes from Escherichia coli, KlebsieUa pneumoniae, and Proteus mlrabilis isolates collected during tigecycline phase 3 clinical trials[J]. Antimicrab Agents Chemother, 2009, 53 (2) :465-475.
  • 7Hanson ND, Moland ES, Hong SG, et al. Surveillance of community-based reservoirs reveals the presence of CTX-M, imported AmpC, and OXA-30 beta-lactamases in urine isolates of KlebsieUa pneumoniae and Eschedchia coli in a U. S. community [ J ]. Antimicrob Agents Chemother, 2008, 52(10) :3814-3816.
  • 8Cai JC, Zhou HW, Zhang R, et al. Emergence of Serratia marcescens, Klebsiella pneumoniae and Escherichia coli possessing the plastold-mediated carbapenem-hydrolyzing β-laclamase KPC-2 in intensive care units from a Chinese hospital[J]. Antimicrob Agents Chemother, 2008, 52(6): 2014-2018.
  • 9Clinical and Laboratory Standards Institute. MT-A7 Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically- 7th ed; Approved standard[ S]. CLSI, 2006.
  • 10Yigit H, Queenan AM, Anderson GJ, et al. Novel carbapenem-hydrolyzing β-lactamase, KPC-1, from a carbapenem-resisVant strain of Klebsiella pneumonia[J]. Antimicrob Agents Chemother, 2001,45(4) : 1151-1161.

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