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肿瘤患者感染铜绿假单胞菌的现状与对策
Current status of Pseudomonas aeruginosa infections in tumour patients and countermeasures
【摘要】 目的了解肿瘤患者感染铜绿假单胞菌的现状,并制定对策。方法分析2007-2009年检出的440株铜绿假单胞菌的分离率及耐药性,采用K-B纸片扩散法结合VITEK-2 MIC法进行药敏试验,按美国临床实验室标准化研究所(CLSI)标准判断结果。结果近3年分离出铜绿假单胞菌不断上升,2007-2009年分离率分别为7.94%、11.15%、15.91%;细菌分离以痰标本分离率最高,占65.68%,其次是分泌物,占12.50%,引流液占7.50%;铜绿假单胞菌耐药率呈上升趋势。结论铜绿假单胞菌是引起医院感染的重要病原菌之一,应合理使用抗菌药物,加强医院感染管理,避免交叉感染。
【Abstract】 OBJECTIVE To investigate the infection among tumoral inpatients in hospital and find out the quick path of preventing hospital infection.METHODS The drug-resistance of 440 Pseudomonas aeruginosa isolates to 12 kinds of common antibiotics was performed by K-B method and by MIC through the VITEKⅡ.The drug sensitivity test was performed based on the standard of the CLSI of the USA during 2007-2009.RESULTS The isolation rate of Pseudomonas aeruginosa was increased during the last 3 years,the strains were mainly isolated from esophageal neoplasms,the isolation rates from 2007-2009 were 7.94%,11.15% and 15.91%,respectively.The bacteria were mainly isolated from lower sputum,secretion and drainage of fluid,accounting for 65.68%,12.50% and 7.50%,respectively.The resistant rate was increased.CONCLUSION P.aeruginosa is the important pathogen causing hospital infection,rational use of antibiotics is very important,we should strengthen the administration and controlling of nosocomial infections.
【Key words】 Pseudomonas aeruginosa; Tumoral inpatients; Infection; Countermeasures;
- 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2011年15期
- 【分类号】R446.5
- 【下载频次】55