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        河南某醫(yī)院108例嗜麥芽窄食單胞菌臨床分布及耐藥分析

        2014-09-17 21:57:53邱衛(wèi)強(qiáng)
        中國(guó)社區(qū)醫(yī)師 2014年9期

        邱衛(wèi)強(qiáng)

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

        doi:10.3969/j.issn.1007-614x.2014.9.2

        摘 要 目的:了解嗜麥芽窄食單胞菌的臨床分布特點(diǎn)及耐藥情況,為臨床診斷嗜麥芽窄食單胞菌感染并及時(shí)合理選擇抗生素提供實(shí)驗(yàn)室依據(jù)。方法:根據(jù)臨床和實(shí)驗(yàn)室操作規(guī)程對(duì)醫(yī)院分離的108份陽性標(biāo)本進(jìn)行實(shí)驗(yàn)室鑒定及K-B藥敏試驗(yàn),統(tǒng)計(jì)其臨床分布及藥物敏感結(jié)果。結(jié)果:嗜麥芽窄食單胞菌主要感染人群為老年人和青少年,臨床分布以呼吸科、ICU、新生兒科為主,標(biāo)本主要來自于痰液,細(xì)菌最敏感的藥物是頭孢哌酮/舒巴坦、復(fù)方新諾明和左氧氟沙星、哌拉西林/他唑巴坦,對(duì)亞胺培南、氨基糖苷類及大部分β內(nèi)酰胺類抗菌藥物呈高度耐藥。結(jié)論:嗜麥芽窄食單胞菌耐藥情況十分嚴(yán)重,要盡快建立該菌在醫(yī)院的耐藥譜,加強(qiáng)耐藥監(jiān)測(cè),根據(jù)藥敏試驗(yàn),合理規(guī)范使用抗菌藥物。

        關(guān)鍵詞 嗜麥芽窄食單胞菌 藥敏試驗(yàn) 臨床分析

        Clinical distribution and drug resistance analysis of 108 patients with maltophilia Aeromonas in a hospital of Henan province

        Qiu Weiqiang

        Inspection department in Zhumadian Central Hospital of Henan province,450000

        Abstract Objective:To observe maltophilia aeromonas clinical distribution and drug resistance,in order to provide laboratory basis of maltophilia Aeromonas infections clinical diagnosis and choice an reasonable antibiotics treatment timely.Methods:108 positive samples separation in 2012~2013 were taken to laboratory identification and KB susceptibility testing based on clinical and laboratory procedures,statistic clinical distribution and drug sensitivity.Results:Maltophilia aeromonas mainly infection of the elderly and youth populations, clinical distributed mainly in the respiratory department,ICU and neonatology,Specimen mainly from the sputum,cefoperazone/Shuba Tan,cotrimoxazole and levofloxacin,piperacillin/tazobactam are the most sensitive bacterial drugs,imipenem,aminoglycosides and mostly of βlactam antimicrobial agents were highly resistant.Conclusion:Maltophilia aeromonas have very serious durg resistant.To create a resistance spectrum in the hospital as soon as possible,strengthen the resistance monitoring,use of antimicrobial drugs reasonable and standard based on susceptibility testing.

        Key words Maltophilia Aeromonas;Susceptibility testing;Clinical analysis

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