漯河市某医院儿童感染性疾病病原菌及耐药性调查

INVESTIGATION OF PATHOGEN FROM CHILDREN INFECTIOUS DISEASE AND ITS DRUG RESISTANCE IN LUOHE

目的了解漯河市某医院儿童感染性疾病病原菌特点及其耐药性。方法通过病人标本病原学调查,对住院和门诊患儿采集的标本进行病原菌检测与分析。结果 2012年度从某医院住院和门诊患儿送检标本中检出病原菌505株,肺炎链球菌和大肠埃希菌检出率位于前2位,构成比分别为30.69%和18.61%。除此两种细菌之外,检出率较高的还有肺炎克雷伯菌、金黄色葡萄球菌、溶血葡萄球菌、志贺菌、鲍曼不动杆菌等。检出的细菌对亚胺培南普遍敏感,未检出耐万古霉素菌株。结论漯河地区儿童感染性疾病的病原菌以肺炎链球菌和大肠埃希菌居多,其耐药性调查结果对指导临床用药具有指导意义。

Objective To study the pathogen characteristic and their drug resistance from children infectious disease in Luohe. Methods The pathogen detection and analysis methods were used to investigate the pathogen collected from child patients of ward and clinics. Results In year 2012, we detected 505 pathogens from the pediatrics department of a hospital. The top 2 detected pathogens were Streptococcus pneumoniae and Escherichia coli, which accounted for 30.69% and 18.61% respectively. In addition to the two kinds of bacteria, the pathogens with higher detection rate were Klebsiella pneumoniae, Staphylococcus aureus, Staphylococcus haemolyticus and Shigella, Acinetobacter baumannii. The bacteria de- tected were generally sensitive to Imipenem, and we did not find the Vancomycin - resistant strains. Conclusion The majority pathogens for children infectious disease are Streptococcus pneumoniae and Escherichia coli in Luohe. The investigation results of resistance detection are significant for guiding the clinical medication.