2005年临床分离病原菌的分布及耐药性分析
投稿时间:2006-04-24    点此下载全文
引用本文:林素珍,赖善城,林燕青,罗腾火.2005年临床分离病原菌的分布及耐药性分析[J].药学实践杂志,2007,(4):229~231
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作者单位
林素珍 福建省龙岩市第二医院,福建龙岩364000 
赖善城 福建省龙岩市第二医院,福建龙岩364000 
林燕青 福建省龙岩市第二医院,福建龙岩364000 
罗腾火 福建省龙岩市第二医院,福建龙岩364000 
中文摘要:目的:调查我院临床分离病原菌的分布及耐药状况,为临床用药提供依据。方法:对我院2005年1~12月分离的病原菌作回顾性分析。结果:共检出1572株致病菌,其中革兰阳性菌599株,占38.1%,革兰阴性菌478株,占30.4%,真菌494株,占31.4%。药敏结果:敏感率最高的前三位抗菌素是:万古霉素95.8%、亚胺培南88.2%、头孢吡肟83.6%,而耐药率最高的分别为:克拉霉素79.3%、克林霉素74.0%、红霉素73.5%。结论:临床真菌感染逐年上升;检出革兰阳性菌比例较高且耐药率高;酶抑制剂能明显降低革兰阴性菌的耐药率,但不能明显降低革兰阳性菌的耐药率。应加强抗菌素的临床合理使用。
中文关键词:病原菌  抗菌素  耐药分析
 
Analysis of distribution and resistance of pathogen isolated from clinical specimens in 2005
Abstract:Objective:To investigate the actualities of the distribution and resistance of pathogen isolated from clinical specimens, to provide the basis for clinical rational use drug.Methods:The pathogenes isolated from clinical specimens in 2005 were analysed.Re- sults:It was 1572 pathogenes isolated from clinical specimens which were sent to be examined.Gram positive bacteria was 599,38.1 percent;Gram negative bacteria was 478,30.4 percent;Fungi was 494,31.4 percent;The result of drug sensitive test indicated:the highest sensitive antibiotic:vancomycin 95.8 percent,imipenem 88.2 percent,cefepime 83.6 percent.The highest resistance antibiot- ic:clarithromycin 79.3percent,clindamycin 74.0 percent,erythromycin 73.5 percent.Conclusion:The Fungi infected rate is increas- ing,the rate of Gram positive bacteria and its resistance were high;the enzme-inhibited can reduce the resistance rate of Gram negative bacteria,not reduce the resistance rate of Gram positive bacteria.It would be strengthed the antibiotic rational use in clinic.
keywords:pathogen  antibaterial  resistance
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