10年间我院病原菌调查及耐药性变迁分析.pdfVIP

. 84 . Medical Lahoratory Science and Clinics I 2007 I Vo118 I No ,3 医学检验与临床 2即7 年第 18 卷第3 期 10 年问我院病原菌调查及耐药性变迁分析 孟宛祥 (山东菜钢集团公司医院，山东莱克 271126) [摘要] 阔的 了解我院 1995 由 2∞5 年临床感染的菌群分布及其耐药性。指导临床医生合理有效地使用抗生素。方法 对我院 10 年间临床分离的病原箭进行分布调查和耐药性分析。结果 10 年共分离出细菌 5326 株，其中肠杆菌科细菌占 32.59岛，苹兰阳性球筒 28.2% ，非发酵筒 25.5% ，酵母样具筒 9.3% 。分离率由高到低占前五位的依次是:钢绿假单胞筒、凝闺 酶阴性的葡萄球菌(CNS) 、大肠埃希氏商、真茵、金黄色葡萄球菌。阳性菌中未发现耐万台霉素菌株，肠杆菌科细菌和非发酵 前对亚麟培南、头乎也派翻/舒已组的敏感率最高。结论 引起我院临床感染的细简占前五位的是:铜绿假单胞商、凝罔酶阴性 的葡萄正在筒、大肠埃希氏筒、真筒、金黄色葡萄球筒。万台霉亲对阳性冻菌敏感率最高，亚胳培南、头抱派翻/舒巳坦对阴性杆 商的敏感率最高。 Ili 床应根据体外药敏实验选择敏感抗生素控制感染的发生。 [关键调] l群分布 药物敏感实验耐药性变迁 Analysis of 由e Dis创bution and Drug Resis阳nce of path吨:enic ba，加da in our b帽pi臼1 Meng 泪anxiang (Laig;u唱 Hospital ，Laiwu 271126 ，。由18) [Abstract]伽dective To find out the p础咿ns distribution and their drug resi酬ce from 1 附ω2∞5 in 。田 hospital. Instnicts clinician reasonably e旧ectively toωe the antibiotic. Me销时s To analysis the paù吨ens distribution and their drug resistance in our hospital 如lO years clinical se阳刚ion diseωe germ.ωuUs 10 yωrs altogether se阳rate bacterium 5326 ,Enterobacteriaceae were 38. 5 % ,Gram -萨施itive c∞ci were 27.29奋， non f.创menters gr四n negative bacilli 22.5% , Fungu弱 were 9.3%.ηle 附阳rative rate ∞cupies first five from high to low is: Pseudomonasaerugïn唰，CNS ,Escherichi脚。!i， FUI酬，Saureus. Gram - Positive COCCi resistantωvan∞mycln were not fOUlld. Gram - negtiv bacteriawere were es伊cially sensitive to imi阳nem and cefoperazone/sulbactanJ. Conclusi侃IS Co凶创 our hospital infection 仙st five bacteria is: seudomonas aerugrnωa， CNS ,Escherichia coli , FUI喀阳， S.aureus.Gram- po唱itive cocci are especially sensitiveωvancomycin. Gram 四 nega帽 tive bacteria were es伊cially sensitive to imipenem and piperacillinltazobωtanJ. [Key words】阳也咿附伽创bution; 阮咀g sensitivity test: Vicissitude of 出耶esi阳ce 1