重症监护病房细菌分布与变迁分析.pdfVIP

1072 • Chin J Nosocomiol Vo l. 16 No.9 2006 ·论著· 重症监护病房细菌分布与变迁分析 宋青，周飞虎，王秀英 (解放军总医院，北京 100853) 摘要:目的 回顾性研究重症监护病房(ICU)患者常见细菌分布及变迁，为合理使用抗菌药物、有效控制感染提 供依据。方法 分析 2002 年 1 月 ~2005 年 8 月 ICU 患者分离所得 413 株细菌，总结细菌种类分布。结果 413 株细菌主要为铜绿假单胞菌 87 株、鲍氏不动杆菌 48 株、嗜麦芽寡养单胞菌 34 株、表皮葡萄球菌 30 株、金黄色葡 萄球菌 20 株、大肠埃希菌 19 株;其中常见细菌依次为铜绿假单胞菌(2 1. 07%) 、鲍氏不动杆菌(11. 62%) 和嗜麦 芽寡养单胞菌(8.23%) 。结论 重症监护病房感染源主要为革兰阴性菌，但嗜麦芽寡养单胞菌逐渐增多，应监测 细菌变迁动态，合理使用抗菌药物。 关键词:重症监护病房;细菌分布z 变迁 中图分类号: R197.32 文献标识码:A 文章编号: 1005-4529(2006)09-1072-03 Microbial Population Distribution in Intensive Care Unit: Analysis of Its AIteration SONG Qing , ZHOU Fei-hu , W ANG Xiu-ying CGeneral Hosþital of PLA , Beijing 100853 , China) Abstract: OBJECTIVE To study the alteration of microbial population distribution in intensive care unit CICU) for the reference to clinical drug administration. METHODS The distributed features of 413 strains of infection germs detected among the patients of ICU were statistically analyzed during the years of 2002 to 2005. RESULTS The main germs of 413 strains were Pseudomonas aeruginosa (87 strains) , Acinetobacter baumannii (48 strains). Stenotroρhomonas maltophilia (34 strains) , Staρhylococcus ePidermidis (30 strains). S. aureus (20 strains) and Escherichia coli 09 strains). The first 3 species were P. aeruginosa (2 1. 07 %), A. baumannii (1 1. 62 %) and Sten. maltophilia (8.23 %). CONCLUSIONS Most pathogens in ICU are Gram-negative bacteria and the proportion of Sten. maltoρhilia increases gradua l1y. It is a very important clinical value to inspect the bacterial d