本文選題：重癥監(jiān)護病房 + 病原菌��； 參考：《中華醫(yī)院感染學雜志》2016年16期

【摘要】：目的探討重癥監(jiān)護病房(ICU)病原菌的分布及耐藥性研究,為控制ICU的感染提供參考依據(jù)。方法選取2014年1月-2015年6月醫(yī)院ICU住院患者送檢的712份標本進行細菌培養(yǎng),采用BD公司Poenix 100全自動細菌鑒定/藥敏系統(tǒng)對病原菌進行鑒定以及藥敏試驗,數(shù)據(jù)采用SPSS 19.0軟件進行統(tǒng)計分析。結(jié)果 712份標本中有386份陽性,陽性率為54.21%;共檢出480株病原菌,以革蘭陰性菌為主,共354株,占73.75%,其次為真菌67株,占13.96%,革蘭陽性菌59株,占12.29%;鮑氏不動桿菌對多黏菌素耐藥率最低為0,腸球菌屬對利奈唑胺、替考拉寧和萬古霉素耐藥率最低,均為0,檢出的所有真菌對兩性霉素B耐藥率均為0。結(jié)論 ICU住院患者中非發(fā)酵菌和真菌的檢出率高,且多種病原菌耐藥性較其他科室嚴重,需加強ICU病原菌及耐藥性的監(jiān)測,根據(jù)藥敏的結(jié)果合理、正確的使用抗菌藥物,減少耐藥菌感染的發(fā)生。
[Abstract]:Objective to study the distribution and drug resistance of pathogenic bacteria in intensive care unit (ICU). Methods from January 2014 to June 2015, 712 samples of hospitalized patients in ICU were selected for bacterial culture. Poenix 100 automatic bacterial identification / drug sensitivity system of BD company was used to identify pathogenic bacteria and drug sensitivity test. The data were analyzed by SPSS 19.0 software. Results 386 of 712 specimens were positive, the positive rate was 54.21, 480 pathogenic bacteria were detected, 354 were Gram-negative bacteria (73.75cm), 67 were fungi (13.96), 59 were Gram-positive bacteria. The resistance rate of Acinetobacter baumannii to polymyxin was the lowest, and that of Enterococcus to linazolamide, teicoplanin and vancomycin was the lowest, all the fungi were found to be resistant to amphotericin B. Conclusion the detection rate of non-fermentative bacteria and fungi in ICU patients is high, and the drug resistance of many pathogens is more serious than that of other departments. It is necessary to strengthen the surveillance of pathogens and drug resistance in ICU. According to the results of drug sensitivity, the antibiotics should be used correctly. Reduce the incidence of drug-resistant bacteria infection.
【作者單位】： 重慶三峽醫(yī)藥高等�？茖W校護理系;重慶三峽中心醫(yī)院ICU;重慶三峽中心醫(yī)院護理部;重慶云陽縣人民醫(yī)院檢驗科;
【基金】：重慶市高等教育教學改革研究基金資助項目(153237)
【分類號】：R459.7
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本文編號：2105260