摘要
目的为掌握细菌对抗菌药物的耐药动向和变迁,以正确指导临床合理用药。方法定期对细菌进行耐药性监测,细菌的分离培养按《全国临床检验操作规程》进行。结果从尿中检出的以大肠埃希菌(49.5%)、屎肠球菌、粪肠球菌为主;从痰中检出的以铜绿假单胞菌(32.5%)、大肠埃希菌、肺炎克雷伯菌为主;从脓液中检出的以大肠埃希菌、金黄色葡萄球菌、凝固酶阴性葡萄球菌为主;从血液和前列腺液中分离出的细菌以凝固酶阴性葡萄球菌为主。结论MRCNS株的检出高于MRSA株,未发现VRS株;万古霉素对葡萄球菌属的敏感性最好;一至四代头孢菌素对大肠埃希菌、肺炎克雷伯菌仍有较好的抗菌活性。
OBJECTIVE To guide the reasonable application of antibiotics. METHODS The isolation and culturing of bacteria were done according to The National Clinical Laboratory Operation Rules. RESULTS The main pathogens from urine were Escherichia coli （49.5%）, Enterococcus faecium and E. faecalis, from sputum were Pseudomonas aeruginosa （32.5%）, E. coli and Klebsiella pneumoniae, from pus were E. coli, Staphylococcus aureus and coagulase-negative Staphylococcus （CNS）, and from blood and prostatic fluid were CNS. CONCLUSIONS Meticillin-resistant CNS（MRCNS） strains are more often seen than meticillin-resistant S. aureus （MRSA） ones, and Vancomycin-resistant Staphylococcus（VRS） strains are not discovered. Staphylococcus are mostly sensitive to vancomycin. E. coli and K. pneumoniae are still sensitive to the first, second, third and fourth generation cephalosporins.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第10期1178-1180,共3页
Chinese Journal of Nosocomiology
关键词
细菌
抗菌药物
药敏试验
Bacteria
Antibiotics
Drug susceptibility test
