摘要
目的分析重症监护病房(ICU)患者痰标本中鲍曼不动杆菌对抗菌药物的耐药性,指导临床合理选择抗菌药物。方法对贵港市人民医院从ICU患者的痰标本分离的52株鲍曼不动杆的耐药性进行统计分析。结果鲍曼不动杆菌对常用抗菌药物哌拉西林、庆大霉素、复方新诺明和替卡西林/棒酸的耐药率最高为100%,对亚胺培南、头孢哌酮/舒巴坦、哌拉西林/他唑巴坦、米诺环素和阿米卡星耐药率较低,依次为15.4%、36.5%、40.4%、38.5%、46.1%;对头孢类等其他常用抗菌药物耐药率程度也较高,为60%以上。结论重症监护病房中感染的鲍曼不动杆菌对多种抗菌药物耐药性极高,应加强耐药监测,合理应用抗菌药物。
Objective To explore the resistance to antimicrobial drugs of Bauman Acinetobacter in sputum of intensive care unit（ICU） patients,and to guide the rational choice of ntibacterial drugs.Methods In our hospital,52 isolations of Bauman from ICU patients with sputum specimens were analyzed statistically.Results Bauman Acinetobacter antibiotic piperacillin,gentamicin,cotrimoxazole and ticarcillin/clavulanic acid resistant rate was up to 100%,to imipenem,Cefoperazone/sulbactam,piperacillin/tazobactam,minocycline and Amikacin low resistance rate,followed by 15.4%,36.5%,40.4%,38.5%,46.1%;to cephalosporins and other commonly used antimicrobial drug resistance rate was more than 60% higher degree.Conclusion Infection in intensive care units of Bauman Acinetobacter to a variety of antimicrobial drug resistance was extremely high,the monitoring of drug resistance and reasonable application of antibacterial drug should be strengthened.
出处
《中华全科医学》
2013年第4期619-620,共2页
Chinese Journal of General Practice
