医学检验与临床2024,Vol.35Issue(2) :28-32.DOI:10.3969/j.issn.1673-5013.2024.02.007

细菌耐药与近五年抗菌药物使用频度相关性分析

Correlation Between Bacterial Resistance and Usage Frequency of Antibiotics in Recent Five Years

王素红 于子倩 李姗姗 钟喜杰
医学检验与临床2024,Vol.35Issue(2) :28-32.DOI:10.3969/j.issn.1673-5013.2024.02.007

细菌耐药与近五年抗菌药物使用频度相关性分析

Correlation Between Bacterial Resistance and Usage Frequency of Antibiotics in Recent Five Years

王素红 1于子倩 1李姗姗 1钟喜杰2
扫码查看

作者信息

  • 1. 聊城市退役军人医院检验科,山东聊城 252000
  • 2. 聊城市退役军人医院妇产科,山东聊城 252000
  • 折叠

摘要

目的:分析我院前五位细菌耐药率与近五年抗菌药物使用频度(DDDs)的相关性,为今后抗菌药物的合理使用提供依据.方法:统计2018-2022年检出前五位细菌的耐药率,以及同期抗菌药物的DDDs,并对两者进行相关性分析.结果:检出的前五位细菌分别是大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌和金黄色葡萄球菌,其中大肠埃希菌对左氧氟沙星的耐药率逐年上升.细菌耐药率与抗菌药物DDDs相关性分析发现,大肠埃希菌耐药率与左旋氧氟沙星正相关(r值为0.902,P<0.05);肺炎克雷伯菌耐药率与头孢唑林呈正相关(r值为0.902,P<0.05);鲍曼不动杆菌耐药率与头孢哌酮舒巴坦正相关(r值为0.965,P<0.05).金黄色葡萄球菌与常用抗菌药物之间无相关性(P>0.05).结论:某类细菌的耐药率与抗菌药物使用存在相关性,提醒临床医生使用抗菌药物时应进行适当调整,促进合理用药,降低耐药率的发生.

Abstract

Objective:To analyze the correlation between the top five bacterial drug resistance rates and antimicrobial drug use frequency(DDDs),understand the trend of bacterial drug resistance in our hospital,and provide basis for the rational use of antimicrobial drugs.Methods:The drug resistance rate of the top five bacteria clinically isolated from 2018 to 2022 and the DDDs of antibacterial drugs in the same period were counted.Pearson was used to analyze the correlation between the drug resistance rate of bacteria and the DDDs of antibacterial drugs.Results:The top five bacteria detected in 2018-2022 were Escherichia coli,Klebsiella pneumoniae,Pseudomonas aeruginosa,Acinetobacter baumannii and Staphylococcus aureus.The drug resistance rate of Escherichia coli to levofloxacin increased year by year.According to the statistics of DDDs,levofloxacin is the most widely used antibiotic.The correlation analysis between bacterial drug resistance rate and DDDs showed that the drug resistance rate of Escherichia coli was positively correlated with levofloxacin(r=0.902,P<0.05);The drug resistance rate of Klebsiella pneumoniae was positively correlated with cefazolin(r=0.902,P<0.05);The drug resistance rate of Acinetobacter baumannii was positively correlated with cefoperazone sulbactam(r=0.965,P<0.05).There was no correlation between Staphylococcus aureus and common antibiotics(P>0.05).Conclusion:There is a correlation between the drug resistance rate of the bacteria and the use of antibacterial drugs.Appropriate adjustment should be made to promote rational drug use and reduce drug resistance.

关键词

前五位细菌/抗菌药物/耐药率/DDDs/相关性

Key words

Top five bacteria/Antimicrobial drugs/Drug resistance rate/DDDs/Relevance

引用本文复制引用

出版年

2024
医学检验与临床
山东省千佛山医院

医学检验与临床

影响因子:0.294
ISSN:1673-5013
参考文献量9
段落导航相关论文