摘要
目的分析本院鲍曼不动杆菌的临床分布及耐药情况,为临床合理使用抗生素提供依据。方法回顾性分析本院2014年1月至2018年12月住院患者各类标本,利用仪器法进行鉴定及药敏试验,对鲍曼不动杆菌的分布特征及耐药情况进行分析。结果分离出鲍曼不动杆菌408株,主要来源于痰标本,占64.7%。科室分布由高到低排列依次为ICU、呼吸内科、肿瘤科、神经外科及综合科。抗生素中仅有多粘菌素B耐药率低于50.0%(耐药率为0.3%),其余的耐药率均高于50.0%。结论本院鲍曼不动杆菌耐药情况较严重,医院应积极开展其耐药性检测,制定合理的抗生素用药方案,加强手卫生、环境物表管理,以防止多重耐药菌的扩散。
Objective To analyze the clinical distribution and drug resistance of acinetobacter baumannii in our hospital to provide basis for the proper use of antibiotics in clinic.Methods Various specimens from inpatients in our hospital from January 2014 to December 2018 were retrospectively analyzed.Identification and drug sensitivity test were implemented by the instrument method,analysis on the clinical distribution and drug resistance of acinetobacter baumannii.Results 408 strains of acinetobacter baumannii were isolated,mainly from sputum specimens(64.7%).The main distribution was ICU,respiratory department,oncology department,neurosurgery department,and general department.Only the drug resistance rate of polymyxin B was less than 50.0%in antibiotics(0.3%),and that of the rest were all more than 50.0%.Conclusion The drug resistance of acinetobacter baumannii in our hospital is very serious.The hospital should actively carry out its drug resistance test,develop a reasonable usage program of antibiotic drugs,strengthen hand hygiene,environmental and object surface management,in order to prevent the spread of multi drug resistant bacteria.
作者
黄锐航
韩福郎
Huang Ruihang;Han Fulang(Nanhai People's Hospital,Foshan 528200,China)
出处
《国际医药卫生导报》
2020年第5期719-721,共3页
International Medicine and Health Guidance News
关键词
鲍曼不动杆菌
耐药性
抗生素
合理用药
Acinetobacter baumannii
Drug resistance
Antibiotic
Rational administration of drug
作者简介
通信作者:韩福郎,Email:20269105@qq.com。
