鲍曼不动杆菌的临床分布及药敏结果分析

Acinetobacter Baumannii Clinical Distribution and Drug Sensitivity Analysis

目的:了解鲍曼不动杆菌(ABA)的临床分布特点,临床分离率,及其对抗生素的敏感性与耐药趋势,为医院临床用药治疗及预防鲍曼不动杆菌引起的院内感染提供实验依据。方法:回顾分析长沙市某医院2009年8月至2011年10月临床送检标本中分离出的鲍曼不动杆菌与药敏试验。结果:2009年8月至2011年10月共分离出653株鲍曼不动杆菌,在不动杆菌属中占第一位,检出率自2009年下半年的6.09%依次上升至2011年的8.91%。临床科室分布以ICU病房为主,其次是神经内科。22种抗菌药物中,以多粘菌素E耐药率最低,亚胺培南次之。结论:鲍曼不动杆菌在临床标本中的检出率有逐年增加的趋势,耐药性强,多重耐药现象严重,且多数分布在手术科室或危重病房中。

Objective Learn Acinetobacter baumannii(ABA) the clinical characteristics of the distribution, clinical isolation rate,and its antibiotic sensitivity and resistance trends in clinical medicine for hospital treatment and prevention of Acinetobacter baumannii nosocomial infections were caused by experimental basis. Methods Retrospective analysis of Changsha a Hospital from August 2009 to October 2011 submission of clinical specimens isolated Acinetobacter baumannii.Results August 2009 to October 2011,a total of 653 isolated Acinetobacter baumannii in a non-fermenting bacteria,the Acinetobacter accounted for the first,the detection rate from 6.09% in the second half of 2009,followed in 2011 rose to 8.91 percent.Distribution of clinical departments to ICU ward,followed by the Department of Neurology.22 antibacterial drugs,polymyxin E-resistant to the lowest,followed by imipenem.Conclusion Acinetobacter baumannii clinical specimens in a high detection rate, and there is a rising trend,Resistance strong,the phenomenon of multi-drug resistant serious,and the majority are located in critical surgical departments or wards.