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大肠埃希菌及肺炎克雷伯菌产超广谱β-内酰胺酶菌株的分布及耐药性分析 被引量:49

Extended-spectrum β-Lactamases-producing Klebsiella pneumoniae and Escherichia coli:Distribution and Drug-resistance Analysis
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摘要 目的了解大肠埃希菌(ECO)及肺炎克雷伯菌(KPN)产超广谱β-内酰胺酶(ESBLs)菌株的分布情况及其药敏特点,指导临床用药。方法用K-B法及纸片确证试验,对582株ECO及KPN产ESBLs菌株进行检测和分析。结果582株菌中共检出128株产ESBLs菌株,总检出率为22%,产ESBLs株对大部分抗菌药物耐药,而对亚胺培南100%敏感。结论产ESBLs菌株是临床常见致病菌,亚胺培南是治疗产ESBLs菌株感染的首选药物。 OBJECTIVE To study the distribution and characteristic about drug resistance of extended-spectrum β- lactamases (ESBLs) producing Klebsiella pneumoniae and Escherichia coli for guiding the clinical drug using. METHODS Using K-B agar diffusion method and confirmed test to detect the drug resistance and distributions of ESBLs-producing K. pneumoniae and E. coil RESULTS Among 582 K. pneumoniae and E. coli isolates, 128(22%) were ESBLs-producing strains. For E. coli, the ratio was 17.5%, while K. pneumoniae was 28.3%/00. The sensitive rate of K. pneumoniae to imipenem was 100%. CONCLUSIONS ESBLs-producing K. pneumoniae and E. coli are the most common species causing infections, and imipenem is the best choice.
机构地区 黄石市爱康医院
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2007年第4期455-456,共2页 Chinese Journal of Nosocomiology
关键词 产超广谱Β-内酰胺酶 大肠埃希菌 肺炎克雷伯菌 耐药性 ESBLs Escherichia coli Klebsiella pneumoniae Drug resistance
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