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find Author "罗麟洁" 2 results
  • 2011年-2013年宜宾市大肠埃希菌临床分布及耐药趋势分析

    目的分析宜宾市2011年-2013年大肠埃希茵的临床分布特点及对常用抗茵药物的耐药趋势,为临床预防和控制大肠埃希茵感染提供依据。 方法对2011年-2013年从宜宾市第一人民医院和宜宾市第二人民医院住院患者的各种标本中分离出的4 372 株大肠埃希菌进行回顾性分析,比较大肠埃希菌感染部位、耐药变迁及其对12 种抗菌药物的耐药趋势。 结果大肠埃希菌的检出率呈逐年上升趋势,其耐药菌株检出率为44.81%;在尿液标本中检出最多,占40.44%;痰液标本耐药菌检出最多,占47.47%;呼吸内科大肠埃希菌检出最多,重症监护病房分离出的耐药大肠埃希菌最多;亚胺培南耐药率最低,哌拉西林/他唑巴坦、阿米卡星耐药率较低。 结论宜宾市大肠埃希菌的检出率和耐药率呈逐年上升趋势,其主要感染部位是泌尿道,呼吸道易发生耐药菌感染,重症监护病房、呼吸内科为高危科室;可经验性选择亚胺培南可哌拉西林/他唑巴坦、阿米卡星治疗大肠埃希菌感染,尽量减少使用氟喹诺酮类。

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  • Clinical Distribution and Drug Resistance of Klebsiella Pneumoniae in Yibin Region from 2011 to 2014

    ObjectiveTo understand the clinical distribution and drug resistance of Klebsiella pneumoniae in Yibin during 2011 to 2014 so as to provide evidence for clinical rational use of antimicrobial drugs. MethodsKlebsiella pneumoniae isolated from all types of clinical specimens were collected from the First People's Hospital and the Second People's Hospital of Yibin during 2011 to 2014. VITEK2 Compact and its supporting identification card GP and drug sensitivity test card AST-GP67 were used for detection, and the results were analyzed and summarized. ResultsMost Klebsiella pneumoniae were detected from the Department of Respiratory Medicine, the proportion for each year was 48.15%, 46.24%, 45.44%, and 44.97% during 2011 to 2014. Klebsiella pneumoniae isolated were mainly from sputum samples, the proportion for each year was 81.01%, 89.18%, 87.80%, and 83.52% between 2011 and 2014. Imipenem and piperacillin/tazobactam resistance rates were lower, but the overall trend was rising. Ampicillin/sulbactam, and sulfamethoxazole resistance rates were higher. Levofloxacin, ciprofloxacin increased year by year. Aztreonam, cefepime, and amikacin rate declined. ConclusionKlebsiella pneumoniae is one of the main infection pathogen in the Department of Respiratory Medicine. Klebsiella pneumoniae resistance rates are higher. Klebsiella pneumoniae were sensitive to enzyme inhibitors β-lactam antimicrobial agents and carbapenem antibiotics.

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