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许建成, 刘韶晖, 周琪, 黄晶. 2003-2007年医院感染肠球菌耐药监测分析[J]. 中国公共卫生, 2009, 25(9): 1104-1105. DOI: 10.11847/zgggws2009-25-09-45
引用本文: 许建成, 刘韶晖, 周琪, 黄晶. 2003-2007年医院感染肠球菌耐药监测分析[J]. 中国公共卫生, 2009, 25(9): 1104-1105. DOI: 10.11847/zgggws2009-25-09-45
XU Jian-cheng, LIU Shao-hui, ZHOU Qi, . Antimicrobial resistance of Enterococcus isolated during 2003-2007[J]. Chinese Journal of Public Health, 2009, 25(9): 1104-1105. DOI: 10.11847/zgggws2009-25-09-45
Citation: XU Jian-cheng, LIU Shao-hui, ZHOU Qi, . Antimicrobial resistance of Enterococcus isolated during 2003-2007[J]. Chinese Journal of Public Health, 2009, 25(9): 1104-1105. DOI: 10.11847/zgggws2009-25-09-45

2003-2007年医院感染肠球菌耐药监测分析

Antimicrobial resistance of Enterococcus isolated during 2003-2007

  • 摘要: 目的 了解2003-2007年吉林大学第一医院肠球菌的耐药性变化情况.方法 采用纸片扩散法进行药敏试验,根据美国临床实验室标准化研究所(CLSI)的标准判断结果.采用WHONET-5软件进行分析.结果 2003-2007年我院收集肠球菌642株,来自尿液、呼吸道标本、分泌物及脓液、血液的比例分别占44.4%,21.8%,18.7%,8.6%.庆大霉素高耐粪肠球菌和屎肠球菌检出率分别为57.4%~72.5%,72.1%~93.8%.未发现对万古霉素、替考拉宁耐药的肠球菌.肠球菌多重耐药严重,临床常用抗菌药物的耐药性呈逐年上升趋势.结论 加强肠球菌细菌耐药监测,了解其耐药变迁,指导临床合理用药,防止耐药菌株的传播.

     

    Abstract: Objective To investigate an timicrobial resistance of Enterococcus isolated in the First Clinical Hospital of Jilin University during 2003-2007.Methods Disk diffusion testwas used to study the antmiicrobial resistance.The results were evaluated based on Clinical and Laboratory Standards In stitute.WHONET 5 was applied for analysis.Results Most of 642 Enterococcus strains were collected from urine(44.4%),respiratory secretion specimen(21.8%),secretions and abscesses(18.7%)and blood(8.6%)during 5 years.The rates of high level am no glycosides resistant(HLAR)in Enterococcus faecalis and Enterococcus faecium was 57.4%-72.5% and 72.1%-93.8%,respectively.There was novancomy cin and teicoplanin resistant strain.Susceptibility test showed thatEntero coccus wasmultiple resistant.During the 5 years,the antmi icrobial resistance of Entero coccus increased.Conclusion Monitoring of the antimicrobial resistance of Enterococcus sho ld be streng thened.The change of the antmi icrobial resistance should be investigated in order to direct rational drugus age inclinic.

     

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