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金黄色葡萄球菌耐药性分析

Antimicrobial resistance of Staphylococcus aureus isolates from Tongzhou District of Beijing

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【作者】 张芳; 李玉敏; 崔会景; 王立秋; 车殿茹; 刘静;

【Author】 ZHANG Fang,LI Yu-min,CUI Hui-jing,WANG Li-qiu,CHE Dian-ru,LIU J ing. (Department of Clinical Laboratory,Luhe Hospital of Tongzhou District,Beijing 101149,China)

【机构】 北京通州区潞河医院检验科; 北京通州中医医院检验科; 北京通州妇幼保健院检验科 101149; 101149;

【摘要】 目的了解金葡菌对常用抗菌药物的耐药情况,指导临床合理用药。方法对2002—2005年各类感染标本分离出的159株金葡菌使用纸片扩散法进行药敏试验和克林霉素诱导试验,并对结果进行分析。结果129株(81.1%)金葡菌为MR—SA,敏感度最高的5种抗菌药物依次为万古霉素(100%)、氯霉素(92.5%)、复方磺胺甲嗯唑(88.7%)、利福平(30.8%)和阿米卡星(26.4%)。D试验阳性率为63.6%。结论临床分离的金葡菌对常用抗菌药物产生多重耐药性.应根据分离株耐药特点选用不同的治疗方案。

【Abstract】 Objective To investigate current resistance pattern of Staphylococcus aureus isolates to common antimicrobial agents for improving clinical therapy. Methods A total of 159 isolates of S. aureus were collected from clinical settings during the period of 2002 to 2005. Disk diffusion method and D zone test were performed for all the strains. Results Of the 159 isolates, 129 (81.1%) were identified as MRSA. All (100%) the S. aureus isolates were susceptible to vancomycin, but variously to chlor-amphenicol (92.5%), trimethoprim-sulfamethoxazole (88.7%), rifampicin (30.8%), and amikacin (26.4%). The positive rate was 63. 6% in D-test. Conclusions Clinical isolates of S. aureus are multiple-drug resistant. The antimicrobial therapy should be based on the resistant pattern.

  • 【文献出处】 中国感染与化疗杂志 ,Chinese Journal of Infection and Chemotherapy , 编辑部邮箱 ,2006年05期
  • 【分类号】R446.5
  • 【被引频次】10
  • 【下载频次】99
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