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年华, 褚云卓, 王倩. ICU与非ICU病房致病细菌谱及耐药分析[J]. 中国公共卫生, 2007, 23(12): 1516-1517. DOI: 10.11847/zgggws2007-23-12-60
引用本文: 年华, 褚云卓, 王倩. ICU与非ICU病房致病细菌谱及耐药分析[J]. 中国公共卫生, 2007, 23(12): 1516-1517. DOI: 10.11847/zgggws2007-23-12-60
NIAN Hua, CHU Yun-zhuo, WHANG Qian. Analysis on profile of bacteria and antibiotic resistance in ICU ward and non-ICU ward[J]. Chinese Journal of Public Health, 2007, 23(12): 1516-1517. DOI: 10.11847/zgggws2007-23-12-60
Citation: NIAN Hua, CHU Yun-zhuo, WHANG Qian. Analysis on profile of bacteria and antibiotic resistance in ICU ward and non-ICU ward[J]. Chinese Journal of Public Health, 2007, 23(12): 1516-1517. DOI: 10.11847/zgggws2007-23-12-60

ICU与非ICU病房致病细菌谱及耐药分析

Analysis on profile of bacteria and antibiotic resistance in ICU ward and non-ICU ward

  • 摘要: 目的 了解重症监护病房(ICU)与非ICU病房菌谱情况,对其革兰阴性杆菌耐药率进行比较,为不同病区使用抗菌药物提供实验室依据。方法 用VITEK-2和细菌鉴定(API)系统对细菌进行鉴定;采用K-B纸片扩散法进行药敏试验,用WHONET 5.3软件进行数据分析,SPSS 11.5软件进行统计学分析。结果 ICU病房排在前5位的细菌分别是铜绿假单胞菌(128株,占22.1%)、洋葱伯克霍尔德菌(59株,占10.2%)、凝固酶阴性葡萄球菌(50株,占8.6%)、金黄色葡萄球菌(39株,占6.7%)、白色念珠菌(37株,占6.4%);非ICU病房排在前5位的分别是大肠埃希菌(358株,占16.4%)、铜绿假单胞菌(296株,占13.6%)、凝固酶阴性葡萄球菌(194株,占8.9%)、肺炎克雷伯菌(188株,占8.6%)、金黄色葡萄球菌(184株,占8.5%);ICU病房铜绿假单胞菌、大肠埃希菌的耐药率明显高于非ICU病房。结论 ICU病房以条件致病菌非发酵革兰阴性杆菌为主,且耐药程度明显高于非ICU病房,对ICU病房应该单独进行细菌耐药性监测。

     

    Abstract: Objective In order to provide the base for choosing antibiotic empirically for each ward,the profile of the bacteria was investigated in the ICU ward and non-ICU ward and compared the rate of the antibiotic resistance to the gram negative bacilli.Methods The bacteria were identified by VITEK-2 and API system.Antibiotic sensitivity test adopted Kir-by-Bauer method.Data was analyzed by WHONET 5.3 software and SPSS 1115.Results The first five organisms in ICU ward were Pseudomonas aeruginosa(128 isolates,accounted for 22.1%),Burkholderia cepacia(59 isolates,10.2%),coagulase negative staphylococcus(50 isolates,8.6%),Staphylococcus aureus(39 isolates,6.7%)and Candida albicans (37 isolates,6.4%).In non-ICU ward the first five organisms were Escherichia coli(358 isolates,account for 16.4%),P.aeruginosa(296 isolates,13.6%),coagulase negative staphylococcus(194 isolates,8.9%),Klebsiella pneu moniae(188 isolates,8.6%)and S.aureus(184 isolates,8.5%).The antibiotic resistant rates of P.aeruginosa and E.coli from ICU ward were much higher than those in non-ICU ward.Conclusion Non-fermn,gram negative bacilli,are the main isolates in ICU ward and have more significantly high degree of antibiotic resistant rates than those in non-ICU ward,which are treated difficultly.So the antibiotic resistant rates in ICU ward should be monitored alone.

     

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