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我院2015年多重耐药菌分布情况分析
王庆阳,刘红,赵兴辉,韩兆欢,夏保刚
0
(徐州市儿童医院,江苏徐州 221006)
摘要:
目的:探讨我院住院患儿多重耐药菌的分布情况及药物治疗情况。方法:通过目标性监测,收集我院2015年多重耐药菌感染病例资料,对多重耐药菌的分布及治疗情况进行统计分析。结果:我院2015年来共检出多重耐药菌378株,多重耐药菌检出率8.32%,主要为耐甲氧西林金黄色葡萄球菌(38.62%)、大肠埃希菌(26.46%)、肺炎克雷伯菌(14.81%)、阴沟杆菌阴沟亚科(12.17%)、耐碳青霉烯类鲍曼不动杆菌(4.50%)、多耐药铜绿假单胞菌(0.79%)。送检的标本主要为痰液、脓液、血液、中段尿,检出的病例多为社区感染,主要集中在重症监护室。结论:我院对多重耐药菌的管理有一定的成效,仍需继续加强控制措施。
关键词:  多重耐药菌  儿童  社区感染  院内感染
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2017.10.014
基金项目:
Distribution of Multi-Drug Resistant Bacteria in Our Hospital in 2015
Wang Qingyang, Liu Hong, Zhao Xinghui, Han Zhaohuan, Xia Baogang
(Xuzhou Children's Hospital, Jiangsu Xuzhou 221006, China)
Abstract:
Objective: To analyze the distribution of multi鄄drug resistant bacteria and drug treatment in hospitalized children in our hospital. Methods: Through objective monitoring, the data of multi-drug resistant bacteria infections in our hospital in 2015 were collected, and the distribution and treatment were statistically analyzed. Results: Three hundred and seventy-eight strains of multi-drug resistant bacteria were detected in our hospital in 2015. The detection rate was 8.32%. The bacteria were mainly methicillin-resistant Staphylococcus aureus (38.62%), Escherichia coli (26.46%), Klebsiella pneumoniae (14.81%), Enterobacter cloacae (12.17%), carbapenem-resistant Acinetobacter baumannii (4.50%), multi-drug resistant Pseudomonas aeruginosa (0.79%). The mainly samples were putum, pus, blood, midstream urine. Most of the cases were community infection, mainly in the intensive care unit. Conclusion: In view of the above distribution characteristics, our hospital has a certain effect on the management of multi-drug resistant bacteria, but still need to continue to strengthen the control measures.
Key words:  multi-drug resistant bacteria  children  community infection  hospital infection

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