2012～2013年金黄色葡萄球菌临床分布及耐药性

发布时间：2018-02-12 17:38

本文关键词： 金黄色葡萄球菌耐甲氧西林金黄色葡萄球菌耐药率　出处：《中国老年学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的了解该院金黄色葡萄球菌的临床分布及耐药性变迁。方法 2012~2013年临床分离的金黄色葡萄球菌,采用美国临床实验室标准化委员会(CLSI)推荐的方法(K-B法)进行药敏试验和结果判断。结果 2012年分离的226株金黄色葡萄球菌主要来源于重症医学科(24.34%)和康复医学科(16.37%),耐甲氧西林金黄色葡萄球菌(MRSA)检出率为23.45%;2013年分离的244株金黄色葡萄球菌主要来源于重症医学科(32.79%)和神经外科(13.52%),MRSA检出率为33.20%。感染标本来源最多的是呼吸道标本,2012年占69.03%,2013年占59.43%;金黄色葡萄球菌对青霉素G、红霉素、克林霉素耐药率较高,2012~2013年均未发现对万古霉素、替考拉宁、利奈唑胺、替加环素耐药株。结论金黄色葡萄球菌是呼吸道感染最常见的病原菌之一,主要来源于重症医学科。临床医师应依据细菌药敏结果,合理选择抗菌药物,预防和控制耐药菌的发生。
[Abstract]:Objective to investigate the clinical distribution and drug resistance of Staphylococcus aureus in this hospital. Methods Staphylococcus aureus isolated from 2012 to 2013 was used. In 2012, 226 strains of Staphylococcus aureus isolated in 2012 were mainly from the Department of intensive Medicine (ICU) and the Department of Rehabilitation Medicine. The detection rate of MRSA was 23.455.244 strains of Staphylococcus aureus isolated in 2013 were mainly from the department of intensive medicine, and the detection rate of MRSA in neurosurgery was 13.52%. In 2013, it was 59.43. Staphylococcus aureus versus penicillin G, erythromycin, No vancomycin, teicoplanin, linazolamide and tegacycline resistant strains were found in clindamycin resistant strains from 2012 to 2013. Conclusion Staphylococcus aureus is one of the most common pathogens of respiratory tract infection. According to the results of bacterial drug sensitivity, the clinicians should reasonably select antimicrobial agents to prevent and control the occurrence of drug-resistant bacteria.
【作者单位】：青岛大学附属医院内分泌科;青岛大学附属医院检验科;青岛大学附属医院医学工程科;
【基金】：青岛开发区重点科技发展计划项目(No.2013-1-82)
【分类号】：R446.5

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