首页|ICU感染病原菌分布情况及耐药性分析

ICU感染病原菌分布情况及耐药性分析

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目的:分析重症监护室(ICU)感染病原菌分布情况及耐药性.方法:回顾性分析2019年12月—2022年12月阜宁县人民医院收治的 120 例ICU患者的病例资料.统计ICU患者院内感染发生情况及病原菌分布特征,分析ICU院内感染患者耐药情况.结果:120 例ICU患者共有 30 例发生院内感染,院内感染的发生率为 25.00%.120 例ICU院内感染患者共检出菌株 35 株,其中 20 株为革兰阴性菌,占病原菌总株数的 57.14%,12 株为革兰阳性菌,占病原菌总株数的 34.29%,3 株为真菌,占病原菌总株数的 8.57%.对肺炎克雷伯菌、大肠埃希菌两种主要革兰阴性菌进行耐药性分析:肺炎克雷伯菌对头孢唑啉、左旋氧氟沙星、头孢吡肟的耐药率均>50.00%;肺炎克雷伯菌对亚胺培南、红霉素的耐药率最低,均为20.00%,对头孢唑啉的耐药率最高,为100.00%.大肠埃希菌对氨苄西林、莫西沙星的耐药率均≥50.00%;大肠埃希菌对亚胺培南的耐药率最低,为0,对氨苄西林的耐药率最高,为75.00%.对金黄色葡萄球菌、表皮葡萄球菌两种主要革兰阳性菌进行耐药性分析;金黄色葡萄球菌对氨苄西林、左旋氧氟沙星、红霉素的耐药率均>50.00%;表皮葡萄球菌对氨苄西林、红霉素的耐药率均为100.00%;金黄色葡萄球菌对莫西沙星的耐药率为0;表皮葡萄球菌对利福平的耐药率为0.结论:ICU患者检出病原菌以革兰阴性菌为主,多数病原菌存在不同程度的耐药,在临床治疗中需根据药敏结果有针对性地进行合理用药.
Distribution and Drug Resistance Analysis of Pathogenic Bacteria in ICU Infection
Objective:To analyze the distribution and drug resistance of pathogenic bacteria in Intensive Care Unit(ICU)infection.Method:The case data of 120 ICU patients in Funing County People's Hospital from December 2019 to December 2022 were retrospectively analyzed.The incidence of nosocomial infection in ICU patients and the distribution characteristics of pathogenic bacteria were analyzed,and the drug resistance of nosocomial infection patients in ICU was analyzed.Result:Nosocomial infection occurred in 30 of 120 ICU patients,and the incidence of nosocomial infection was 25.00%.A total of 35 strains were detected in 120 patients with nosocomial infection in ICU,of which 20 were Gram-negative bacteria,accounting for 57.14%of the total number of pathogens,12 were Gram-positive bacteria,accounting for 34.29%of the total number of pathogens,and 3 were fungi,accounting for 8.57%of the total number of pathogens.The drug resistance of Klebsiella pneumoniae and Escherichia coli was analyzed.The drug resistance rates of Klebsiella pneumoniae to Cefazolin,Levofloxacin and Cefepime were all>50.00%.The resistance rate of Klebsiella pneumoniae to Imipenem and Erythromycin was the lowest,was 20.00%,and the resistance rate of Cefazolin was the highest,was 100.00%.The resistance rates of Escherichia coli to Ampicillin and Moxifloxacin were≥50.00%.The resistance rate of Escherichia coli to Imipenem was the lowest,was 0,and the resistance rate of Ampicillin was the highest,was 75.00%.The drug resistance of Staphylococcus aureus and Staphylococcus epidermidis was analyzed.The resistance rates of Staphylococcus aureus to Ampicillin,Levofloxacin and Erythromycin were all>50.00%.The resistance rates of Staphylococcus epidermidis to Ampicillin and Erythromycin were 100.00%.The resistance rate of Staphylococcus aureus to Moxifloxacin was 0.The resistance rate of Staphylococcus epidermidis to Rifampicin was 0.Conclusion:Gram-negative bacteria were the main pathogens detected in ICU patients,and most of the pathogens had different degrees of drug resistance,rational drug use should be targeted according to the results of drug sensitivity in clinical treatment.

Intensive Care UnitNosocomial infectionDistribution of pathogenic bacteriaDrug resistanceStaphylococcus aureusStaphylococcus epidermidis

曾凤、李强、杨健

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阜宁县人民医院 江苏 阜宁 224400

重症监护室 院内感染 病原菌分布 耐药性 金黄色葡萄球菌 表皮葡萄球菌

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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