首页|2013年-2014年长沙地区儿童感染流感嗜血杆菌的分布及耐药性分析

2013年-2014年长沙地区儿童感染流感嗜血杆菌的分布及耐药性分析

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目的:了解儿童分离流感嗜血杆菌(Hi)的分布及耐药情况,为临床合理使用抗菌药物、预防和控制感染提供依据。方法:收集长沙市中心医院、长沙市第三医院、长沙市第一医院,2013年1月~2014年2月儿童各类临床标本Hi分离株249株,采用梅里埃全自动微生物鉴定仪进行菌种鉴定,纸片扩散法(K- B法)进行药敏试验,头孢硝噻酚试验检测β-内酰胺酶。结果:儿童Hi以冬季和春季分离率较高,为38.15%、29.32%,以1-3岁儿童分离率最高,占总数的51.8%。Hi 噁对氨苄西林、复方磺胺甲唑、头孢呋辛的耐药率较高,依次为81.12%、63.45%、38.96%,对氨苄西林/舒巴坦、头孢曲松、头孢噻肟、环丙沙星、氧氟沙星、洛美沙星、左氧氟沙星、四环素的敏感率均高于70%。结论:Hi 噁对氨苄西林和复方磺胺甲唑耐药严重,而β-内酰胺酶抑制剂、第2、3代头孢类药物、阿奇霉素可作为优先选择药物。
Objective To investigate the prevalence and antibiotic resistance of Haemophilus influenza in children, and provide a guidline for prevention , clinical diagnosis and rational use of antibiotics. Methods 249 strains of Haemophilus influenza from various clinical specimens were col ected from the Third hospital of Changsha , the First hospital of Changsha and Changsha Central Hospital from Jan 2013 to Feb 2014.Al of them were identified by VITEK 2 com-pact .The antimicrobial susceptibility testing was performed by Kirby- Bauer disc diffusion method,and the nitrocefin phenol test was performed byβ- lacta-mase test. Results Results The isolation rate of Haemophilus influenza in winter and in spring was higher,were 38.15%and 29.32%.there was a high influenza rate in children from 1 to 3 years old. Haemophilus influenza was resistant to ampicil in ,compound sulfamethoxazole and cefuroxime, were81.12%,63.45%and 38.96% , while was sensitive to ampicil in/sulbactam,cefatriaxone,cefotaxime,ciprofloxacin,lomefloxacin,ofloxacin,evofloxacin,tetracycline. Conclutions Haemophilus influenza is resistant to ampicil in and compound sulfamethoxazole,while making it a priority to beta- lactamase inhibitor ,cephalosporins and azithromycin.

Haemophilus influenzachildrenresistance

胡方兴、石国民、沈辉

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湖南省长沙市第三医院 410000

湖南省长沙市中心医院 410000

湖南省长沙市第一医院 410000

流感嗜血杆菌 儿童 耐药性

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(13)
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