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Distribution and drug resistance of pathogenic bacteria isolated from cancer hospital in 2013 被引量:10
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作者 Linjuan Liu Qi Li +3 位作者 Qingyun Zhang Guohong Wang Guobin Xu Ji Zhang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2014年第6期698-704,共7页
Objective: To understand distribution and drug resistance of pathogenic bacteria from a specialized cancer hospital in 2013 in order to provide a basis for rational clinical antimicrobial agents. Methods: Pathogenic... Objective: To understand distribution and drug resistance of pathogenic bacteria from a specialized cancer hospital in 2013 in order to provide a basis for rational clinical antimicrobial agents. Methods: Pathogenic bacteria identification and drug sensitivity tests were performed with a VITEK 2 compact automatic identification system and data were analyzed using WHONET5.6 software.Results: Of the 1,378 strains tested, 980 were Gram-negative bacilli, accounting for 71.1%, in which Klebsiella pneumonia, Escherichia coli and Pseudomonas aeruginosa were the dominant strains. We found 328 Gram-positive coccus, accounting for 23.8%, in which the amount of Staphylococcus aureus was the highest. We identified 46 fungi, accounting for 4.1%. According to the departmental distribution within the hospital, the surgical departments isolated the major strains, accounting for 49.7%. According to disease types, lung cancer, intestinal cancer and esophagus cancer were the top three, accounting for 20.9%, 17.3% and 14.2%, respectively. No strains were resistant to imipenem, ertapenem or vancomycin.Conclusions: Pathogenic bacteria isolated from the specialized cancer hospital have different resistance rates compared to commonly used antimicrobial agents; therefore antimicrobial agents to reduce the morbidity and mortality of infections should be used. 展开更多
关键词 Tumor pathogenic bacteria distribution drug resistance rate
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Occurrence of human pathogenic bacteria carrying antibiotic resistance genes revealed by metagenomic approach: A case study from an aquatic environment 被引量:6
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作者 Renjun Zhou Shenzheng Zeng +4 位作者 Dongwei Hou Jian Liu Shaoping Weng Jianguo He Zhijian Huang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2019年第6期248-256,共9页
Antibiotic resistance genes(ARGs), human pathogenic bacteria(HPB), and HPB carrying ARGs are public issues that pose a high risk to aquatic environments and public health. Their diversity and abundance in water, intes... Antibiotic resistance genes(ARGs), human pathogenic bacteria(HPB), and HPB carrying ARGs are public issues that pose a high risk to aquatic environments and public health. Their diversity and abundance in water, intestine, and sediments of shrimp culture pond were investigated using metagenomic approach. A total of 19 classes of ARGs, 52 HPB species, and 7 species of HPB carrying ARGs were found. Additionally, 157, 104, and 86 subtypes of ARGs were detected in shrimp intestine, pond water, and sediment samples, respectively. In all the samples, multidrug resistance genes were the highest abundant class of ARGs. The dominant HPB was Enterococcus faecalis in shrimp intestine, Vibrio parahaemolyticus in sediments, and Mycobacterium yongonense in water, respectively. Moreover, E. faecalis(contig Intestine_364647)and Enterococcus faecium(contig Intestine_80272) carrying efr A, efr B and ANT(6)-Ia were found in shrimp intestine, Desulfosaricina cetonica(contig Sediment_825143) and Escherichia coli(contig Sediment_188430) carrying mex B and APH(3′)-IIa were found in sediments, and Laribacter hongkongensis(contig Water_478168 and Water_369477), Shigella sonnei(contig Water_880246),and Acinetobacter baumannii(contig Water_525520) carrying sul1, sul2, ere A, qac H, OXA-21, and mph D were found in pond water. Mobile genetic elements(MGEs) analysis indicated that horizontal gene transfer(HGT) of integrons, insertion sequences, and plasmids existed in shrimp intestine, sediment, and water samples, and the abundance of integrons was higher than that of other two MGEs. The results suggested that HPB carrying ARGs potentially existed in aquatic environments, and that these contributed to the environment and public health risk evaluation. 展开更多
关键词 antibiotic resistance genes HUMAN pathogenic bacteria Mobile genetic elements AQUATIC environment
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Analysis on Distribution and Drug Resistance of Pathogenic Bacteria in ICU Patients with Nosocomial Infection from 2019 to 2021
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作者 Yamei Wang Xinwen Zhang 《Journal of Clinical and Nursing Research》 2022年第6期117-124,共8页
Objective:To understand the pathogenic bacteria isolated from patients and their drug resistance changes in general ICU of the Affiliated Hospital of Hebei University,so as to provide reference for appropriate selecti... Objective:To understand the pathogenic bacteria isolated from patients and their drug resistance changes in general ICU of the Affiliated Hospital of Hebei University,so as to provide reference for appropriate selection of antibiotics in clinical practice.Methods:A retrospective investigation was conducted to analyze the bacteriological distribution and drug resistance of nosocomial pathogens isolated from the specimens of hospitalized patients in the comprehensive ICU of the hospital from 2019 to 2021.The US technology BD Phoenix 100 automatic bacterial identification analyzer was used for bacterial identification of the pathogen samples,disk diffusion method was used for drug susceptibility test,and SPSS 22.0 software was used to analyze the trend of drug resistance.Results:A total of 970 strains of nosocomial pathogens were detected in the three years.The main pathogens were Acinetobacter baumannii(133 strains,13.71%),Klebsiella pneumoniae(106 strains,10.93%),Pseudomonas aeruginosa(83 strains,8.56%),Escherichia coli(76 strains,7.84%)and Enterococcus faecium(69 strains,7.11%).The resistance rate of Acinetobacter baumannii to antibiotics was high.Klebsiella pneumoniae,Pseudomonas aeruginosa and Escherichia coli had low resistance rates to carbapenems.The situation of bacterial drug resistance is still serious.Conclusion:The drug resistance of pathogenic bacteria collected from Class III Grade A Hospital’s patients to antibiotics was generally high.Therefore,clinical departments should strengthen the inspection of specimens of infection and drug sensitivity test in order to grasp the resistance mechanisms and drug resistance of pathogenic bacteria changes,and select appropriate antimicrobial agents according to the test results.Besides,the formation of drug-resistant strains also needs to be prevented,and the treatment of patients with severe infection needs to be improved. 展开更多
关键词 Intensive care unit Hospital infection pathogenic bacteria distribution Drug resistance
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Plant cultivar determined bacterial community and potential risk of antibiotic resistance gene spread in the phyllosphere 被引量:3
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作者 Xiaoting Fan Jianqiang Su +2 位作者 Shuyidan Zhou Xinli An Hu Li 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2023年第5期508-518,共11页
The global increased antibiotic resistance level in pathogenic microbes has posed a significant threat to human health.Fresh vegetables have been recognized to be an important vehicle of antibiotic resistance genes(AR... The global increased antibiotic resistance level in pathogenic microbes has posed a significant threat to human health.Fresh vegetables have been recognized to be an important vehicle of antibiotic resistance genes(ARGs)from environments to human beings.Phyllosphere ARGs have been indicated to be changed with plant species,yet the influence of plant cultivar on the phyllospheric resistome is still unclear.Here,we detected the ARGs and bacterial communities in the phyllosphere of two cultivars of cilantros and their corresponding soils using high-throughput quantitative PCR technique and bacterial 16S rRNA gene-based high-throughput sequencing,respectively.We further identified the potential bacterial pathogens and analyzed the effects of plant cultivar on ARGs,mobile genetic elements(MGEs),microbiome and potential bacterial pathogens.The results showed that the cultivars did not affect the ARG abundance and composition,but significantly shaped the abundance of MGEs and the composition structure of bacteria in the phyllosphere.The relative abundance of potential bacterial pathogenswas significantly higher in the phyllosphere than that in soils.Mantel test showed that the ARG patterns were significantly correlated to the patterns of potential bacterial pathogens.Our results suggested that the horizontal gene transfer of ARGs in the phyllosphere might be different between the two cultivars of cilantro and highlighted the higher risk of phyllospheric microorganisms compared with those in soils.These findings extend our knowledge on the vegetable microbiomes,ARGs,and potential pathogens,suggesting more agricultural and hygiene protocols are needed to control the risk of foodborne ARGs. 展开更多
关键词 Cilantro antibiotic resistance genes(ARGs) Horizontal gene transfer(HGT) Mobile genetic elements(MGEs) pathogenic bacteria
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Presence, dissemination and removal of antibiotic resistant bacteria and antibiotic resistance genes in urban drinking water system: A review 被引量:15
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作者 Qiaowen Tan Weiying Li +4 位作者 Junpeng Zhang Wei Zhou Jiping Chen Yue Li Jie Ma 《Frontiers of Environmental Science & Engineering》 SCIE EI CAS CSCD 2019年第3期13-27,共15页
Antibiotic resistance in aquatic environment has become an important pollution problem worldwide. In recent years, much attention was paid to antibiotic resistance in urban drinking water systems due to its close rela... Antibiotic resistance in aquatic environment has become an important pollution problem worldwide. In recent years, much attention was paid to antibiotic resistance in urban drinking water systems due to its close relationship with the biosafety of drinking water. This review was focused on the mechanisms of antibiotic resistance, as well as the presence, dissemination and removal of antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in the urban drinking water system. First, the presence of ARB and ARGs in the drinking water source was discussed. The variation of concentration of ARGs and ARB during coagulation, sedimentation and filtration process were provided subsequently, in which filtration was proved to be a promising technology to remove ARGs. However, biological activated carbon (BAC) process and drinking water distribution systems (DWDSs) could be incubators which promote the antibiotic resistance, due to the enrichment of ARGs and ARB in the biofilms attached to the active carbon and pipe wall. Besides, as for disinfection process, mechanisms of the inactivation of ARB and the promotion of conjugative transfer of ARGs under chlorine, ozone and UV disinfection were described in detail. Here we provide some theoretical support for future researches which aim at antibiotic resistance controlling in drinking water. 展开更多
关键词 antibiotic resistant bacteria antibiotic resistance GENES WATER source DRINKING WATER treatment plant DRINKING WATER distribution SYSTEM Urban DRINKING WATER SYSTEM
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Synergistic Effect of Combined Antibiotics against Some Selected Multidrug Resistant Human Pathogenic Bacteria Isolated from Poultry Droppings in Akure, Nigeria 被引量:1
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作者 Funmilola Oluyemi Omoya Kehinde Oluyemi Ajayi 《Advances in Microbiology》 2016年第14期1075-1090,共16页
Antibiotic resistant bacteria pass between humans, between animals and between humans and animals in both directions, the use of antibiotics in poultry has contributed to multiple antibiotic resistant in pathogenic ba... Antibiotic resistant bacteria pass between humans, between animals and between humans and animals in both directions, the use of antibiotics in poultry has contributed to multiple antibiotic resistant in pathogenic bacteria and use of two antibiotics might prevent the emergence of resistance to either. In this study, synergistic effect of combined antibiotics against multidrug resistant human pathogenic bacterial isolates from poultry droppings in Akure, Nigeria was examined. Collection of samples, isolation and identification of bacteria were carried out using standard microbiological method, antibiotic sensitivity test was performed by disc diffusion method and zone of inhibition was used to interpret the sensitivity test as resistant, susceptible or intermediate while combined effects of two antibiotics were investigated by macrobroth dilution and checkerboard assay methods while the synergetic effects of combined antibiotics were calculated using Fractional Inhibitory Concentration (FIC) and percentage synergistic interaction was calculated. All the ten (10) species of bacterial isolates were multidrug resistant and are less resistant to ofloxacin. The highest percentage synergistic interactions observed were Ofloxacin + Amoxicillin (90%), Ciprofloxacin + Amoxicillin (90%), Tetracycline + Amoxicillin (70%), Tetracycline + Augmentin (80%), Cotrimoxazol + Amoxicillin (50%), Cotrimoxazol + Augmentin (70%), Chloramphenicol + Amoxicillin (70%) and Chloramphenicol + Augmentin (80%). Poultry droppings is a potential source of human pathogenic bacteria, high frequency of multiple antibiotic resistance bacteria observed in this study is of great treat to man as this may cause the treatment of infection caused by these bacteria to be difficult. Combination of beta-lactam antibiotic with fluoroqunolones, tetracycline, Chloramphenicol and Cotrimoxazole was synergetic and this will reduce dose related toxicity and prevent resistance to single antibiotic. 展开更多
关键词 antibiotic Resistant pathogenic bacteria Multidrug Resistant Synergistic Effect Combined antibiotic
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Impacts of cadmium addition on the alteration of microbial community and transport of antibiotic resistance genes in oxytetracycline contaminated soil 被引量:3
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作者 Honghong Guo Shuhong Xue +2 位作者 Mubasher Nasir Jie Gu Jialong Lv 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2021年第1期51-58,共8页
The large-scale development in livestock feed industry has increased the chances of antibiotics and heavy metals contamination in the soil.The fate of antibiotic resistance genes(ARGs)and microbial community in heavy ... The large-scale development in livestock feed industry has increased the chances of antibiotics and heavy metals contamination in the soil.The fate of antibiotic resistance genes(ARGs)and microbial community in heavy metals and antibiotic contaminated soil is still unclear.In this study,we investigated the effect of cadmium(Cd)addition on the transport of ARGs,microbial community and human pathogenic bacteria in oxytetracycline(OTC)contaminated soil.Results showed that the addition of OTC significantly increased the abundance of ARGs and intI1 in the soil and lettuce tissues.The addition of Cd to OTC treated soil further increased the abundance and translocation of ARGs and intI1.Moreover,Cd promoted the transfer of potential human pathogenic bacteria(HPB)into lettuce tissues.Compared with O10 treatment,the addition of Cd decreased the concentration of OTC in soil and lettuce tissue,but slightly increased the fresh weight of lettuce tissues.Redundancy analysis indicated that bacterial community succession is a major factor in ARGs variation.Network analysis indicated that the main host bacteria of ARGs were mainly derived from Proteobacteria.Correlation analysis showed that intI1 was significantly correlated with tetG,tetC,sul1,sul2,erm X,and ermQ.Meanwhile,potential HPB(Clostridium,and Burkholderia)was significantly correlated with intI1 and eight ARGs(tetG,tetC,tetW,tetX,sul1,sul2,ermX,and ermQ.).The findings of this study suggest that the addition of heavy metals to agricultural fields must be considered in order to reduce the transfer of ARGs in the soil and crops. 展开更多
关键词 antibiotic resistance gene CADMIUM Human pathogenic bacteria OXYTETRACYCLINE
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Effective removal of antibiotic resistance genes and potential links with archaeal communities during vacuum-type composting and positive-pressure composting 被引量:6
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作者 Haonan Fan Shanghua Wu +5 位作者 John Woodley Guoqiang Zhuang Zhihui Bai Shengjun Xu Xuan Wang Xuliang Zhuang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2020年第3期277-286,共10页
As a major reservoir of antibiotics,animal manure contributes a lot to the augmented environmental pressure of antibiotic resistance genes(ARGs).This might be the first study to explore the effects of different ventil... As a major reservoir of antibiotics,animal manure contributes a lot to the augmented environmental pressure of antibiotic resistance genes(ARGs).This might be the first study to explore the effects of different ventilation types on the control of ARGs and to identify the relationships between archaeal communities and ARGs during the composting of dairy manure.Several ARGs were quantified via Real-time qPCR and microbial communities including bacteria and archaea were analyzed by High-throughput sequencing during vacuum-type composting(VTC) and positive-pressure composting(PPC).The total detected ARGs and class I integrase gene(intI1) under VTC were significantly lower than that under PPC during each stage of the composting(p <0.001).The relative abundance of potential human pathogenic bacteria(HPB) which were identified based on sequencing information and correlation analysis decreased by 74.6% and 91.4% at the end of PPC and VTC,respectively.The composition of archaeal communities indicated that methane-producing archaea including Methanobrevibacter,Methanocorpusculum and Methanosphaera were dominant throughout the composting.Redundancy analysis suggested that Methanobrevibacter and Methanocorpusculum were positively correlated with all of the detected ARGs.Network analysis determined that the possible hosts of ARGs were different under VTC and PPC,and provided new sights about potential links between archaea and ARGs.Our results showed better performance of VTC in reducing ARGs and potential HPB and demonstrated that some archaea could also be influential hosts of ARGs,and caution the risks of archaea carrying ARGs. 展开更多
关键词 antibiotic resistance genes(ARGs) COMPOSTING ARCHAEA Human pathogenic bacteria bacteriaL COMMUNITIES
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Antimicrobial usage and resistance in beef production 被引量:2
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作者 Andrew Cameron Tim A.McAllister 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2017年第2期249-270,共22页
Antimicrobials are critical to contemporary high-intensity beef production. Many different antimicrobials are approved for beef cattle, and are used judiciously for animal welfare, and controversially, to promote grow... Antimicrobials are critical to contemporary high-intensity beef production. Many different antimicrobials are approved for beef cattle, and are used judiciously for animal welfare, and controversially, to promote growth and feed efficiency. Antimicrobial administration provides a powerful selective pressure that acts on the microbial community, selecting for resistance gene determinants and antimicrobial-resistant bacteria resident in the bovine flora. The bovine microbiota includes many harmless bacteria, but also opportunistic pathogens that may acquire and propagate resistance genes within the microbial community via horizontal gene transfer. Antimicrobial-resistant bovine pathogens can also complicate the prevention and treatment of infectious diseases in beef feedlots,threatening the efficiency of the beef production system. Likewise, the transmission of antimicrobial resistance genes to bovine-associated human pathogens is a potential public health concern. This review outlines current antimicrobial use practices pertaining to beef production, and explores the frequency of antimicrobial resistance in major bovine pathogens. The effect of antimicrobials on the composition of the bovine microbiota is examined, as are the effects on the beef production resistome. Antimicrobial resistance is further explored within the context of the wider beef production continuum, with emphasis on antimicrobial resistance genes in the food chain, and risk to the human population. 展开更多
关键词 antibiotics Antimicrobial resistance Antimicrobial usage Beef production Bovine pathogens Bovine microbiota Cattle Enteropathogens Fecal bacteria Resistome
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某三甲医院尿路感染患者病原菌分布及药敏分析 被引量:1
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作者 陈月华 颜小平 +1 位作者 江利沙 郝玉清 《中国卫生标准管理》 2024年第1期176-180,共5页
目的了解自贡市第三人民医院尿路感染患者病原菌分布及药敏耐药性特点,为临床医师合理选用抗菌素及控制院内感染、降低细菌耐药性提供帮助。方法收集2019年1月—2020年12月自贡市第三人民医院尿路感染就诊患者尿液标本3802份,采用MicroS... 目的了解自贡市第三人民医院尿路感染患者病原菌分布及药敏耐药性特点,为临床医师合理选用抗菌素及控制院内感染、降低细菌耐药性提供帮助。方法收集2019年1月—2020年12月自贡市第三人民医院尿路感染就诊患者尿液标本3802份,采用MicroScan Walk/Away-40(美国SIEMENS公司)全自动微生物鉴定和药敏系统进行细菌鉴定和药敏试验。结果539株分离菌中革兰阴性菌411株,占比76.25%;革兰阳性菌128株,占比23.75%;其中前5位的菌株416株,依次为大肠埃希菌294株(54.55%)、粪肠球菌46株(8.53%)、肺炎克雷伯菌38株(7.05%)、屎肠球菌23株(4.27%)、奇异变形杆菌15株(2.78%)。前5位3种革兰阴性菌中,大肠埃希菌对复方新诺明、环丙沙星、头孢唑啉及左旋氧氟沙星耐药率均>50.00%,对头孢噻肟、头孢曲松、氨曲南和头孢吡肟耐药率均>40.00%,庆大霉素为35.71%,其余均在30.00%以内;肺炎克雷伯菌对复方新诺明耐药性最高为52.63%,其次是头孢唑林为42.11%、头孢噻肟为36.84%、环丙沙星和头孢曲松均为31.58%,其余均在30.00%以内;奇异变形杆菌,对复方新诺明耐药率最高为60.00%,其次环丙沙星为53.33%、妥布霉素为46.67%,头孢唑啉、庆大霉素和氨曲南均为33.33%,其余均在30.00%以内。前5位2种革兰阳性菌中,粪肠球菌,对四环素耐药性最高为86.96%,其次红霉素为76.09%、利福平为54.35%,环丙沙星为32.61%、左旋氧氟沙星和莫西沙星均为30.43%,其余均在30.00%以内;屎肠球菌,对红霉素、环丙沙星和左旋氧氟沙星耐药率均为100%,其次青霉素G为95.65%、莫西沙星为91.30%、利福平和阿莫西林/克拉维酸均为82.61%、四环素为65.22%,对大多数抗菌药物耐药率均较高,其中对万古霉素耐药率最低为4.35%,其次为利奈唑胺为5.26%、呋喃妥因为8.70%。结论临床医师在诊疗过程中,应加强与实验室合作,重视尿路感染的病原学检查,在选用抗菌药物治疗时应结合实验室病原学报告和药敏试验结果,合理使用抗菌药物,同时遏制细菌耐药性。 展开更多
关键词 尿路感染 病原菌 病原菌分布 药敏 耐药性 抗菌药物
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某院铜绿假单胞菌的临床分布及耐药性分析 被引量:1
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作者 郑远明 董智慧 +1 位作者 周杰 由函琳 《国外医药(抗生素分册)》 CAS 2024年第3期169-174,共6页
目的统计大连市友谊医院近六年来铜绿假单胞菌感染的菌株来源与临床分布,分析11种临床常见抗菌药的耐药情况,为临床治疗铜绿假单胞菌感染及合理使用抗菌药物提供理论依据。方法回顾性分析我院2017年1月-2022年12月铜绿假单胞菌感染的临... 目的统计大连市友谊医院近六年来铜绿假单胞菌感染的菌株来源与临床分布,分析11种临床常见抗菌药的耐药情况,为临床治疗铜绿假单胞菌感染及合理使用抗菌药物提供理论依据。方法回顾性分析我院2017年1月-2022年12月铜绿假单胞菌感染的临床送检标本1316株,进行细菌体外分离培养与药敏实验,应用Whonet 5.6软件分析药敏结果,Spss 23软件对6年内该菌耐药率的变化进行卡方检验。结果1316株铜绿假单胞菌中,主要来源于痰液907株(68.9%)和尿液167株(12.7%)。这些菌株主要分布于重症医学科513株(39.0%)和老年病科359株(27.3%)。在所统计的11种抗生素中,哌拉西林/他唑巴坦、头孢吡肟和氨曲南三种药物6年内耐药率变化显著,具有统计学意义(P<0.05);其间耐药率最高的是2021年左氧氟沙星(37.0%),耐药率最低的是2022年头孢吡肟(8.3%)。结论本院铜绿假单胞菌的碳青霉烯类和喹诺酮类耐药率较高,哌拉西林/他唑巴坦呈耐药率逐年上升;微生物室应加强耐药菌监测的同时,临床也要加强抗菌药物的管理。 展开更多
关键词 铜绿假单胞菌 临床分布 耐药性 抗菌药物 耐药菌监测 多重耐药
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ICU感染病原菌分布情况及耐药性分析
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作者 曾凤 李强 杨健 《中外医学研究》 2024年第3期69-73,共5页
目的:分析重症监护室(ICU)感染病原菌分布情况及耐药性。方法:回顾性分析2019年12月—2022年12月阜宁县人民医院收治的120例ICU患者的病例资料。统计ICU患者院内感染发生情况及病原菌分布特征,分析ICU院内感染患者耐药情况。结果:120例... 目的:分析重症监护室(ICU)感染病原菌分布情况及耐药性。方法:回顾性分析2019年12月—2022年12月阜宁县人民医院收治的120例ICU患者的病例资料。统计ICU患者院内感染发生情况及病原菌分布特征,分析ICU院内感染患者耐药情况。结果:120例ICU患者共有30例发生院内感染,院内感染的发生率为25.00%。120例ICU院内感染患者共检出菌株35株,其中20株为革兰阴性菌,占病原菌总株数的57.14%,12株为革兰阳性菌,占病原菌总株数的34.29%,3株为真菌,占病原菌总株数的8.57%。对肺炎克雷伯菌、大肠埃希菌两种主要革兰阴性菌进行耐药性分析:肺炎克雷伯菌对头孢唑啉、左旋氧氟沙星、头孢吡肟的耐药率均>50.00%;肺炎克雷伯菌对亚胺培南、红霉素的耐药率最低,均为20.00%,对头孢唑啉的耐药率最高,为100.00%。大肠埃希菌对氨苄西林、莫西沙星的耐药率均≥50.00%;大肠埃希菌对亚胺培南的耐药率最低,为0,对氨苄西林的耐药率最高,为75.00%。对金黄色葡萄球菌、表皮葡萄球菌两种主要革兰阳性菌进行耐药性分析;金黄色葡萄球菌对氨苄西林、左旋氧氟沙星、红霉素的耐药率均>50.00%;表皮葡萄球菌对氨苄西林、红霉素的耐药率均为100.00%;金黄色葡萄球菌对莫西沙星的耐药率为0;表皮葡萄球菌对利福平的耐药率为0。结论:ICU患者检出病原菌以革兰阴性菌为主,多数病原菌存在不同程度的耐药,在临床治疗中需根据药敏结果有针对性地进行合理用药。 展开更多
关键词 重症监护室 院内感染 病原菌分布 耐药性 金黄色葡萄球菌 表皮葡萄球菌
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某院肺炎克雷伯菌的临床分布和耐药性分析
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作者 郑远明 毕艺馨 周杰 《国外医药(抗生素分册)》 CAS 2024年第4期265-270,共6页
目的分析大连市友谊医院2017年—2022年分离肺炎克雷伯菌的临床分布特征以及耐药性,为临床治疗肺炎克雷伯菌感染提供理论依据。方法收集大连市友谊医院2017年—2022年间分离的1865株肺炎克雷伯菌临床株,采用Whonet 5.6软件分析肺炎克雷... 目的分析大连市友谊医院2017年—2022年分离肺炎克雷伯菌的临床分布特征以及耐药性,为临床治疗肺炎克雷伯菌感染提供理论依据。方法收集大连市友谊医院2017年—2022年间分离的1865株肺炎克雷伯菌临床株,采用Whonet 5.6软件分析肺炎克雷伯菌临床分布和药敏情况,采用SPSS22.0软件对细菌耐药率进行分析。结果肺炎克雷伯菌在痰液标本中的分离率最高(956株,51.26%);临床科室检出率最多的是重症医学科(734株,39.36%)。肺炎克雷伯菌对青霉素类、头孢菌素类和喹诺酮类药物耐药率相对较高,最高是头孢唑啉(69.8%);其次是氨基糖苷类、碳青霉烯类和四环素类药物,最低的是阿米卡星(17.6%)。所有20类监测药物的耐药率2019年较低(<60%),在2022年较高,耐药率大于70%有哌拉西林(75.6%)、氨苄西林/舒巴坦(72.8%)和环丙沙星(72.7%)。六年间有18种抗菌药物变化显著(P<0.05):2017年—2018年,有8类药物耐药率变化显著(P<0.05),头孢替坦和头孢他啶耐药率明显降低,哌拉西林/他唑巴坦、头孢哌酮/舒巴坦、头孢唑啉、环丙沙星、庆大霉素和妥布霉素耐药率明显升高;2020年耐药率增长明显的是米诺环素和左氧氟沙星;2021年米诺环素耐药率下降明显,庆大霉素耐药率增长明显;2022年有20类药物耐药率都增高,其中哌拉西林、哌拉西林/他唑巴坦、氨苄西林/舒巴坦、头孢哌酮/舒巴坦、头孢曲松、亚胺培南、美罗培南、左氧氟沙星、阿米卡星和妥布霉素10类药物耐药率增高明显(P<0.05)。结论本院近年分离肺炎克雷伯菌临床株对20类抗菌药物耐药率有普遍增高趋势,特别是疫情严重的2022年,加酶抑制剂药物、碳青霉烯类、喹诺酮类和氨基糖苷类药物耐药率上升显著。后疫情时代微生物室应加强细菌耐药性监测,特别注意耐加酶抑制剂、耐三代头孢和耐碳青霉烯类的药物的肺炎克雷伯菌;同时临床医师需控制广谱抗菌药物的使用,以减缓耐药现象。 展开更多
关键词 肺炎克雷伯菌 临床分布 耐药性 抗菌药物 多重耐药菌 耐碳青霉烯类肺炎克雷伯菌
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小儿呼吸机相关性肺炎病原菌分布及耐药性分析
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作者 惠迎春 陈慧 庞永清 《当代医学》 2024年第4期124-127,共4页
目的分析小儿呼吸机相关性肺炎(VAP)病原菌分布情况及耐药性。方法回顾性分析2018年1月至2020年10月日照市中医医院收治的56例VAP患儿的临床资料,采集所有患儿气道分泌物进行病原菌培养及药敏试验,分析病原菌分布情况及耐药性。结果56例... 目的分析小儿呼吸机相关性肺炎(VAP)病原菌分布情况及耐药性。方法回顾性分析2018年1月至2020年10月日照市中医医院收治的56例VAP患儿的临床资料,采集所有患儿气道分泌物进行病原菌培养及药敏试验,分析病原菌分布情况及耐药性。结果56例VAP患儿以晚发型为主,占比69.64%;共检出61株病原菌,其中革兰阴性菌47株(77.05%),以鲍曼不动杆菌(29.51%)、铜绿假单胞菌(22.95%)、肺炎克雷伯菌(14.75%)为主;革兰阳性菌12株(19.67%),以金黄色葡萄球菌(8.20%)、肺炎链球菌(6.56%)为主;真菌2株(3.28%)。主要革兰阴性菌鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌对头孢噻肟、头孢曲松、头孢唑林耐药性均>50.00%,对亚胺培南、美罗培南未产生耐药性。革兰阳性菌金黄色葡萄球菌、肺炎链球菌对青霉素、氨苄西林、红霉素耐药性均≥75.00%,对替考拉宁、万古霉素未产生耐药性。结论小儿VAP以晚发型为主,革兰阴性菌为主要致病菌,且整体致病菌对常规抗菌药物呈广谱耐药现象,需依据药敏结果选用针对性药物治疗,促进感染消退。 展开更多
关键词 呼吸机相关性肺炎 病原菌分布 耐药性
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Quantification of multi-antibiotic resistant opportunistic pathogenic bacteria in bioaerosols in and around a pharmaceutical wastewater treatment plant 被引量:7
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作者 Mengyu Zhang Jiane Zuo +3 位作者 Xin Yu Xuchuan Shi Lei Chen Zaixing Li 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2018年第10期53-63,共11页
Pharmaceutical wastewater treatment plants(WWTPs) are thought to be a "seedbed" and reservoirs for multi-antibiotic resistant pathogenic bacteria which can be transmitted to the air environment through aeration. W... Pharmaceutical wastewater treatment plants(WWTPs) are thought to be a "seedbed" and reservoirs for multi-antibiotic resistant pathogenic bacteria which can be transmitted to the air environment through aeration. We quantified airborne multi-antibiotic resistance in a full-scale plant to treat antibiotics-producing wastewater by collecting bioaerosol samples from December2014 to July 2015. Gram-negative opportunistic pathogenic bacteria(GNOPB) were isolated, and antibiotic susceptibility tests against 18 commonly used antibiotics, including 11 β-lactam antibiotics, 3 aminoglycosides, 2 fluoroquinolones, 1 furan and 1 sulfonamide, were conducted.More than 45% of airborne bacteria isolated from the pharmaceutical WWTP were resistant to three or more antibiotics, and some opportunistic pathogenic strains were resistant to 16 antibiotics, whereas 45.3% and 50.3% of the strains isolated from residential community and municipal WWTP showed resistance to three or more antibiotics. The calculation of the multiple antibiotic resistance(MAR) index demonstrated that the air environment in the pharmaceutical WWTP was highly impacted by antibiotic resistance, while the residential community and municipal WWTP was less impacted by antibiotic resistance. In addition, we determined that the dominant genera of opportunistic pathogenic bacteria isolated from all bioaerosol samples were Acinetobacter, Alcaligenes, Citrobacter, Enterobacter, Escherichia, Klebsiella, Pantoea, Pseudomonas and Sphingomonas. Collectively, these results indicate the proliferations and spread of antibiotic resistance through bioaerosols in WWTP treating cephalosporin-producing wastewater, which imposed a potential health risk for the staff and residents in the neighborhood, calling for administrative measures to minimize the air-transmission hazard. 展开更多
关键词 Multi-antibiotic resistance Gram-negative opportunistic pathogenic bacteria BIOAEROSOLS Pharmaceutical wastewater treatment plants
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太仓地区糖尿病足部感染患者病原菌分布及药敏和耐药性分析
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作者 赵瑞娥 《中国医药指南》 2024年第9期125-127,共3页
目的探究太仓地区糖尿病足部感染患者病原菌分布及药敏和耐药情况。方法将70例糖尿病足部感染分泌物阳性患者纳入本次研究中,收取时间段在2013年8月至2022年3月,对患者病原菌分布、药敏、耐药性进行分析。结果70例患者中,一共检出26种... 目的探究太仓地区糖尿病足部感染患者病原菌分布及药敏和耐药情况。方法将70例糖尿病足部感染分泌物阳性患者纳入本次研究中,收取时间段在2013年8月至2022年3月,对患者病原菌分布、药敏、耐药性进行分析。结果70例患者中,一共检出26种类细菌,均为革兰阳性菌感染33例(共计41株),占比47.14%;均为革兰阴性菌感染26例(共29株),占比37.14%;阳性菌与阴性菌混合感染11例(共计22株),占比15.71%。在均是革兰阳性菌感染中以金黄色葡萄球菌、无乳链球菌最常见,药敏提示它们对万古霉素、利奈唑胺、利福平、莫西沙星敏感性高,对青霉素、红霉素、克林霉素、苯唑西林耐药;均为革兰阴性菌感染的菌株较多,大肠埃希菌、肺炎克雷伯杆菌、奇异变形杆菌较多见,药敏提示对亚胺培南、氨曲南、环丙沙星、哌拉西林他唑巴坦、头孢哌酮钠舒巴坦敏感性高,少部分对头孢曲松、头孢呋辛耐药。阳性菌与阴性菌混合感染中,药敏提示它们对万古霉素、利奈唑胺、美罗培南、利福平、莫西沙星、哌拉西林舒巴坦敏感,对青霉素、红霉素、克林霉素、头孢呋辛、头孢曲松、头孢他啶、氨苄西林、环丙沙星、磺胺甲噁唑耐药,耐药率明显上升。结论太仓地区糖尿病足感染的致病菌分布广泛,经验性选择抗生素利于控制感染,病原学检测和药敏实验可为抗感染治疗提供精准依据。 展开更多
关键词 糖尿病足部感染 病原菌分布 药物敏感性 耐药性
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成人与儿童下呼吸道感染患者的病原菌分布及耐药性分析
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作者 吴建武 鄢能荣 廖汉杰 《智慧健康》 2024年第23期5-8,12,共5页
目的分析不同年龄段下呼吸道感染患者的病原菌检测结果及耐药特征。方法将本院2019年7月—2022年7月收治的120例下呼吸道感染患者纳入研究,其中儿童(4~14岁)共50例,成人(18~65岁)共70例,对其进行痰液分泌物检测,观察病原菌分布,选取应... 目的分析不同年龄段下呼吸道感染患者的病原菌检测结果及耐药特征。方法将本院2019年7月—2022年7月收治的120例下呼吸道感染患者纳入研究,其中儿童(4~14岁)共50例,成人(18~65岁)共70例,对其进行痰液分泌物检测,观察病原菌分布,选取应用较为广泛的几种抗生素,分析耐药性。结果在成人下呼吸道感染的病原菌中,革兰阴性菌所占比例为74.0%,而革兰阳性菌所占比例为17.5%。在儿童下呼吸道感染的病原菌中,革兰阴性菌所占比例为70.0%,革兰阳性菌所占比例为23.0%。针对下呼吸道感染患者革兰阴性菌的耐药性分析显示,在成人患者中,肺炎克雷伯菌对氨曲南、头孢哌酮、头孢曲松、头孢唑林等药物的耐药率超过50.0%,而对其他药物的耐药率相对较低。铜绿假单胞菌对阿莫西林/克拉维酸、氨曲南、头孢哌酮等药物的耐药率超过50%,而对其他药物的耐药率较低。在儿童群体中,肺炎克雷伯菌和大肠埃希菌对头孢哌酮的耐药率超过50.0%,而对其他药物的耐药率相对较低。针对下呼吸道感染患者中革兰阳性菌的耐药性分析显示,在成人患者中,金黄色葡萄球菌对头孢唑林和左氧氟沙星的耐药率超过50.0%,而肺炎链球菌仅对头孢唑林的耐药率超过50.0%。儿童中,金黄色葡萄球菌和肺炎链球菌对头孢唑林的耐药率均超过50.0%,而对其他药物的耐药率则较低。结论成人及儿童感染的病原菌类型及耐药情况有一定的差异,通过对这些因素的研究,可帮助临床医师针对不同人群开展针对性用药,保证良好的疗效。 展开更多
关键词 成人 儿童 下呼吸道感染 病原菌分布 耐药性
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2019—2021年新郑市某三级医院病原菌分布及耐药现状分析 被引量:1
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作者 张胜勇 赵嘉咏 +4 位作者 刘颖惠 王云霞 穆玉娇 肖海励 穆晓敏 《海南医学》 CAS 2024年第1期109-113,共5页
目的研究新郑市某三级医院近3年患者的病原菌分布和耐药性特点,为临床治疗及遏制多耐菌提供科学依据。方法收集2019—2021年新郑市公立人民医院收治的18430例患者的病原菌及药敏数据,分析病原菌分布、科室检出率、药物敏感程度,使用SPSS... 目的研究新郑市某三级医院近3年患者的病原菌分布和耐药性特点,为临床治疗及遏制多耐菌提供科学依据。方法收集2019—2021年新郑市公立人民医院收治的18430例患者的病原菌及药敏数据,分析病原菌分布、科室检出率、药物敏感程度,使用SPSS26.0软件进行统计分析。结果3年间分离出病原菌1948株。检出大肠埃希菌、肺炎克雷伯菌、金黄色葡萄球菌、铜绿假单胞菌、屎肠球菌最多。多重耐药菌622株,占病原菌的33.93%。前五位耐药菌分别是大肠埃希菌(315株,50.64%)、肺炎克雷伯菌(116株,18.65%)、金黄色葡萄球菌(94株,15.11%)、铜绿假单胞菌(39株,6.27%)、鲍曼不动杆菌(18株,2.89%)。大肠埃希菌对头孢噻肟(53.82%)、环丙沙星(56.48%)、复方新诺明(62.29%)、左氧氟沙星(56.48%)等药耐药率高,对亚胺培南(1.99%)、美罗培南(1.99%)、哌拉西林/他唑巴坦(5.15%)耐药率极低。鲍曼不动杆菌耐药率较高,仅对复方新诺明(19.30%)、左氧氟沙星(21.05%)敏感。金黄色葡萄球菌对青霉素全耐药(100.00%),对阿奇霉素(74.02%)、红霉素(74.02%)、克林霉素(70.10%)耐药率高。未见对替考拉宁、利奈唑胺、万古霉素耐药。结论初步掌握新郑市患者病原菌分布基础数据,为临床医生选药、用药提供科学依据,避免耐药菌的产生。 展开更多
关键词 新郑市 病原菌分布 多重耐药 大肠埃希菌
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耐药菌的环境分布、传播及新型抗菌技术研究进展 被引量:1
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作者 欧阳富成 曹慧明 +3 位作者 陈博磊 李准洁 李智 梁勇 《环境化学》 CAS CSCD 北大核心 2024年第1期1-13,共13页
抗生素的广泛使用导致细菌耐药性增加、多重耐药菌菌群数量急剧增多,严重威胁着人类生命健康.环境中耐药菌(ARB)及耐药基因(ARGs)的存在给临床治疗耐药菌感染带来了巨大挑战.有关医院中常见耐药致病菌的研究已有很多,尚缺乏环境中耐药... 抗生素的广泛使用导致细菌耐药性增加、多重耐药菌菌群数量急剧增多,严重威胁着人类生命健康.环境中耐药菌(ARB)及耐药基因(ARGs)的存在给临床治疗耐药菌感染带来了巨大挑战.有关医院中常见耐药致病菌的研究已有很多,尚缺乏环境中耐药菌的分布、传播及新型耐药菌抗菌技术等的相关研究.本文综述了耐药菌的环境分布特征及其传播机制,概述了新型抗菌技术及其应用,最后展望了有关环境耐药菌研究的未来发展方向. 展开更多
关键词 耐药菌 环境分布 传播 抗菌技术 展望
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漂白粉消毒后对虾养殖源水细菌群落的响应特征研究
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作者 王庚申 颜懿 +5 位作者 李彤 董鹏生 谢建军 许文军 张德民 张化俊 《海洋与湖沼》 CAS CSCD 北大核心 2024年第1期202-212,共11页
漂白粉消毒是凡纳滨对虾养殖源水常见的管控措施,可有效控制病原菌传播;然而,消毒会强烈扰动水体微生物群落,但源水细菌群落对漂白粉消毒的响应特征尚未阐明。在室内条件下,设置高浓度(60 mg/L)和低浓度(20 mg/L)漂白粉消毒源水,通过高... 漂白粉消毒是凡纳滨对虾养殖源水常见的管控措施,可有效控制病原菌传播;然而,消毒会强烈扰动水体微生物群落,但源水细菌群落对漂白粉消毒的响应特征尚未阐明。在室内条件下,设置高浓度(60 mg/L)和低浓度(20 mg/L)漂白粉消毒源水,通过高通量测序及荧光定量PCR技术探究消毒后源水细菌群落、病原菌及抗生素抗性基因(ARGs)的动态响应规律。结果显示,消毒后,拟杆菌门(Bacteroidota)丰度上升,高浓度组变形菌门(Proteobacteria)的丰度显著降低;至第3天,两组源水的细菌群落组成趋于一致。此外,漂白粉消毒显著改变了源水的细菌群落结构及共现网络的复杂性。在控制水体病原菌方面,消毒后病原菌的总丰度降低,但种类增加,高浓度漂白粉消毒对病原菌的抑制作用更加显著。漂白粉消毒对ARGs的去除具有选择性,仅对sul1、floR、cfr、tetQ有一定的去除作用,且高、低浓度对ARGs的去除无差异。综上,60 mg/L可以作为漂白粉消毒养殖源水的更好浓度选择。研究结果从微生物生态视角评价了不同浓度漂白粉的消毒作用,可为对虾养殖生产中的源水管控提供理论支撑。 展开更多
关键词 漂白粉 养殖源水 细菌群落 病原菌 抗性基因
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