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耐甲氧西林表皮葡萄球菌感染情况调查及药敏分析
  • ISSN号:1007-614X
  • 期刊名称:《中国社区医师:医学专业》
  • 时间:0
  • 分类:R378.11[医药卫生—病原生物学;医药卫生—基础医学]
  • 作者机构:[1]广东中山市,南方医科大学附属小榄医院528415
  • 相关基金:中山市医学科研基金项目(N0:2009063)
中文摘要:

目的:了解耐甲氧西林表皮葡萄球菌感染情况和耐药特点.方法:回顾性分析131株耐甲氧西林表皮葡萄球菌感染情况及耐药性特点.结果:在这2年期间耐甲氧西林表皮葡萄球菌(MRSE)检出率86.2%.科室分布以新生儿科为最多(20.6%),58.8%(来源于伤口标本,25.2%来源于血液标本.按年份分组比较分析,MRSE检出率由89.4%降到83.7%;MRSE对克拉霉素、阿奇霉素、红霉素和复方新诺明的耐药性增强,对庆大霉素物、四环素、环丙沙星和克林霉素的耐药性降低,对万古霉素、利奈唑烷和替加环素均敏感.结论:表皮葡萄球菌感染以MRSE菌居多,MRSE对常用抗生素耐药性明显高于甲氧西林敏感葡萄球菌(MSSE).其医院感染检出率降低,社区感染检出率升高.

英文摘要:

Objective:To investigate methicil- lin -resistant staphylococcus epidermidis ( MRSE ) infection and drug - resistance. Methods:The survey was conducted over a period of 24 months between Nov 2009 and Oct 2011 in our hospital. A total of 131 ca- ses of methicillin - resistant staphylococcus epidermidis infection were analysed and per- formed with drug sensitivity test. Results: The detection rate of MRSE among all the i- solated strains is 86. 2% (131/152) in our hospital during the two - year period. 20. 6% (27/131 ) from newborn department. 58.8% (77/131)is from wound specimens. 25.2% (33/131)is from blood specimens . the detection rate of MRSE decreased from 89.4% (59/66) to 83.7% (72/86). Mean- while,the resistance rates of the MRSE to the antibiotics ( Sulfamethoxazole/Trime-thoprim clarithromycin, azithromycin, eryth- romycin) were increased,whereas for the an- tibiotics ( gentamiein, tetracycline, eiprofloxa- cin, levofloxacin, oxifloxacin, elindamycin ) the resistance rates were decreased. They were all sensitive to vancomyein, linezolid, tigecycline. Conclusion: Staphylococcus epi- dermidis infections are mostly MRSE bacte- ria. clindamyein, its antibiotic resistance to Common antibiotics was significantlyhigher than methieillin - sensitive staphylococcus. The Hospital infection rate of MRSE was decreased, at the same time, the community in- fection rate of MRSE was increased.

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期刊信息
  • 《中国社区医师》
  • 主管单位:吉林东北亚出版传媒集团有限公司
  • 主办单位:吉林东北亚出版传媒集团有限公司
  • 主编:
  • 地址:北京市西城区西直门外大街1号西环广场A 座17楼
  • 邮编:100044
  • 邮箱:yxlw999@sina.com
  • 电话:010-58302828
  • 国际标准刊号:ISSN:1007-614X
  • 国内统一刊号:ISSN:11-5189/R
  • 邮发代号:80-358
  • 获奖情况:
  • 吉林省政府评为社会与经济效益“双十佳”期刊
  • 国内外数据库收录:
  • 被引量:14187