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目的统计分析本院患者感染铜绿假单胞菌的耐药性,为临床提供用药参考依据。方法收集2014-01~2015-09月本院各科患者送检的标本中分离到的317株铜绿假单胞菌,统计分析其临床分布、标本种类及药敏试验结果。结果铜绿假单胞菌在临床中主要分布于呼吸内科16.40%,ICU13.25%,烧伤科11.36%,门诊13.56%;标本主要集中在痰液、分泌物、前列腺液,分别占57.73%、17.67%、10.73%;阿米卡星的耐药率最低,耐药率相对较低还有哌拉西林钠他唑巴坦、美洛培南、亚胺培南。结论铜绿假单胞菌呈现出多重耐药且耐药率不断上升的特点,医护人员应该合理用药,降低耐药性。
Objective To analyze and analyze the resistance of patients infected with Pseudomonas aeruginosa in our hospital and provide the reference for clinical application. Methods A total of 317 strains of Pseudomonas aeruginosa isolated from specimens collected from all subjects in our hospital from January 2014 to September 2015 were collected and their clinical distribution, specimen types and drug sensitivity test results were statistically analyzed. Results Pseudomonas aeruginosa was mainly distributed in respiratory medicine 16.40%, ICU13.25%, burn department 11.36% and outpatient clinic 13.56%. The samples were mainly sputum, secretions and prostatic fluid accounting for 57.73%, 17.67 %, 10.73% respectively. Amikacin had the lowest drug resistance rate, relatively low resistance rate, and piperacillin-tazobactam, meropenem and imipenem. Conclusion Pseudomonas aeruginosa showed the characteristics of multi-drug resistance and drug resistance. The medical staff should use medicine reasonably and reduce the drug resistance.