感染性发热患者临床特点及其病原菌耐药性分析.pdfVIP

2007 17 6 749 丁红方, 田德英, 朱旭慧 ( , 430030) : 70 + , 70 ,G 40 ( 57. 1%) , - 8 ,(CNS) 32 ; G 30 (42. 9%) , ; ,53. 1% CNS , 5 ESBLs + - G , ESBLs G , , : ; ; + : R378. 2 1 : A :2007 Clinical Feature and Bacterial Resistance among Patients with Infectious Fever:An analysis DING ongfang, TIAN Deying, Z U Xuhui ( Tongj i H osp ital, Tongj i Medical College, H uazhong University of Science and Technology , Wuhan, H ubei 430030, China) Abstract: OBJEC IVE T o study the clinical feature among patients with infectious fever and the antimicrobial resistance of infection pathogens.ME HODS A retrospective analysis was carried out among 70 cases during recent 3 years. RESUL S The 70 strains of pathogens were isolated from blood and/or bone marrow cultures of 70 patients with infectious fever, 40 strains ( 57. 1%) were Grampositive cocci, in which 8 strains were Staphylococcus aureus, and 32 strains were coagulase negative staphylococci( CONS) ; 30 strains( 42. 9%) were Gramnegative bacilli, of which the Sal onella and Escherichia coli were the main microorganisms, 53. 1% of CONS were resistant to oxacillin. T here were 5 strains of Gramnegative bacilli that were suspected to produce extended spectrum lactamases( ESBLs), which were resistant to multiple antibiotics, the most active agent against these Gramnegative bacilli with ESBLs was imipenem. CONCLUSIONS The bacteria are mainly Gram positive cocci for the patients with infectious fever in the infectious wards. T he Gramnegative bacilli with ESB