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神经外科住院患者医院感染病原菌与耐药性分析

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目的:回顾性分析神经外科住院患者常见病原菌的分布变迁及对抗菌药的耐药情况,为合理使用抗菌药物、控制耐药率提供依据.方法:收集我院神经外科2020年7月1日至2023年7月1日送检的7 636份标本检验结果,分析感染病原菌的分布及耐药率.结果:7 636份送检标本,分离出3 205株病原菌;标本以痰液为主,共2 790株,占87.05%;菌种以革兰阴性菌为主,共2 586株,占80.69%;革兰阴性菌和革兰阳性菌耐药率呈上升趋势,真菌耐药率呈下降趋势;革兰阳性菌对万古霉素和利奈唑胺保持较高的敏感.结论:我院神经外科住院患者送检标本培养的病原菌中以革兰阴性菌多见,病原菌的耐药率整体呈逐年升高趋势.
Analysis of hospital-acquired infection pathogens and antibiotic resistance in neurosurgery inpatients
Objective:To retrospectively analyze the distribution and changes in common pathogenic bacteria isolated from inpatients in department of neurosurgery and their resistance,so as to provide a basis for the rational use of antimicrobial drugs and the control of pathogen resistance rates.Methods:The results of 7 636 specimens from neurosurgery inpatients admitted to the hospital between Jul 1,2020,and Jul 1,2023 were collected and analyzed.The distribution and resistance rates of infecting pathogens were analyzed as well.Results:Out of 7 636 specimens,3 205 strains of pathogenic bacteria were isolated.Sputum specimens were the most common,totaling 2 790 strains,accounting for 87.05%of all.Gram-negative bacteria were the predominant isolates,with 2 586 strains,accounting for 80.69%.The resistance rates of both Gram-negative and Gram-positive bacteria showed an increasing trend,while the resistance rate of fungi showed a decreasing trend.Gram-positive bacteria remained highly sensitive to vancomycin and linezolid.Conclusion:Among the cultured specimens obtained from inpatients in neurosurgery,Gram-negative bacteria are the predominant isolates,and there is an overall increasing trend in the resistance rates of the pathogens over the years.

neurosurgeryinpatientshospital-acquired infectionpathogenic bacteriadrug resistance

李季林、陈华、张权、刘祥璐

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复旦大学附属中山医院青浦分院神经外科,上海 201700

神经外科 住院患者 医院感染 病原菌 耐药性

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(5)