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鲍曼不动杆菌耐药性动态变化特征及分析
Changes in resistance rates of acinetobater baumannii:characteristircs and analysis
【摘要】 目的分析该院6年来鲍曼不动杆菌耐药性变化,为临床合理使用抗生素提供依据。方法采用K-B纸片扩散法对临床标本分离的鲍曼不动杆菌进行抗菌药物敏感性测定,数据输入WHONET5.3软件进行统计分析。结果在统计年限内,共检出鲍曼不动杆菌309株,分离率逐年上升。鲍曼不动杆菌对常用抗生素的耐药率有普遍上升的趋势并呈多重耐药,其中对亚胺培南耐药率最低(3.6%),对阿米卡星、耐替米星、左旋氧氟沙星、头孢哌酮/舒巴坦、头孢吡肟、哌拉西林等抗菌药物耐药率在29.5%~77.4%之间。结论鲍曼不动杆菌临床分离率逐年增加,耐药性逐年增强,应加强其耐药率监测,合理使用抗生素。
【Abstract】 Objective To investigate the trend of omtibacterial resistance rate of Acinetobater baumannii in our hospital from Jan.2000 to Jun.2005,and for the guidance of rational use of antibacterials.Methods A.baumannii strain was isolated and tested by K-B method from clinical samples and antibiotic resistance was analyzed and studied retrospectively.Results There was an elevated tendency of the resistance rates to common antibacterial in A baumanii for past six years. The resistance rate to imipenem was the lowest (3.6%) and to amikacin, cefoperazone/sulbactam was 29.5%-77.4%.Conclusion The resistance rates to common the antibacterial in A.baumanii are high and the resistance pattern is wide. It is important to select antibiotics according to the antibiotics sensitivity in vitro.
【Key words】 Acinetobacter baumannii; Isolation rate; Anti-bacterial agents; Drug resistance,bacterial;
- 【文献出处】 国际检验医学杂志 ,International Journal of Laboratory Medicine , 编辑部邮箱 ,2006年05期
- 【分类号】R446.5
- 【被引频次】9
- 【下载频次】89