临床微生物检验及细菌耐药性的监测分析

Monitoring and Analysis of Clinical Microbiological Testing and Antimicrobial Resistance

目的分析临床微生物检验及细菌耐药性的监测结果。方法回归分析2014年3月—2015年1月我院任意600份送检标本在各科室的耐药菌株检测情况,分析各类菌株的耐药性。结果 ICU的耐药菌株检出率最高,说明病情越重、伤口暴露越严重、住院时间越长,患者的耐药菌株越多,菌株的耐药性越强;耐药菌株对不同抗菌药物的耐药性具有差异,除了肠球菌,所有菌株对青霉素G、氨苄西林、头孢唑啉的耐药性都相对较高。结论重视并加强临床微生物检验及细菌耐药性的监测,是规范使用抗菌药物、减少耐药菌株感染的有力保障。

Objective To analyze the monitoring results of clinical microbiological testing and antimicrobial resistance. Methods Regression analysis of 600 arbitrary specimens were examined in each department of drug-resistant bacteria from March 2014 to January 2015 in our hospital, and analyzed the resistance of various strains. Results ICU has the highest detection rate of drug-resistant strains, indicating that the more serious the disease, the more serious the wound, the longer the hospital stay, the more resistant strain the patient has, the stronger the resistance of the strain. Drug-resistant strains have different resistance to different antimicrobial agents, tn addition to enterococcus, all strains have relatively high resistance to penicillin G, ampicillin and cefazolin. Conclusion The monitoring of clinical microbiological testing and antimicrobial resistance is a strong guarantee to regulate the use of antimicrobial agents and reduce the infection of resistant strains.