• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2018, Vol. 20 ›› Issue (1): 68-72.DOI: 10.3969/j.issn.1671-2587.2018.01.024

• 临床检验 • 上一篇    下一篇

2012~2016金黄色葡萄球菌和肺炎链球菌分布及耐药趋势分析*

金亮, 李达, 王勇雁, 陈丹丹, 刘辉, 郝殿晋, 陈宏伟   

  1. 066000 河北省秦皇岛市第一医院检验科
  • 收稿日期:2017-11-02 出版日期:2018-02-20 发布日期:2018-02-28
  • 作者简介:金亮(1979-),满族,河北青龙县人,副主任技师,硕士,主要从事临床生物检验工作(E-mail) jinliang611@aliyun.com。
  • 基金资助:
    *本课题受秦皇岛市科技支撑计划项目(No.201502A078)资助

Analysis of Staphylococcus Aureus and Streptococcus Pneumoniae Distribution and Drug Resistance Trend of 2012-2016

JIN Liang, LI Da, WANG Yongyan, et al   

  1. Department of Clinical Laboratory,The First Hospital of Qinhuangdao,Qinhuangdao Hebei 066000
  • Received:2017-11-02 Online:2018-02-20 Published:2018-02-28

摘要: 目的 对2012~2016年医院患者金黄色葡萄球菌(SA)和肺炎链球菌(SP)感染现状及耐药性进行调查,为医院感染监控和临床用药提供参考。方法 回顾性分析2012~2016年医院患者细菌培养标本中金黄色葡萄球菌和肺炎链球菌分离情况及耐药性的变迁趋势。结果 从各类标本中共分离出病原菌18 966株,分离金黄色葡萄球菌1 697株,其中耐甲氧西林金黄色葡萄球菌 (MRSA)623株,占36.71%,肺炎链球菌353株,分离率为1.86%。标本来源主要有痰液、分泌物和全血;感染科室主要以重症监护室、神经外科、儿科、老年病科、骨科多见。5年来SA的分离率及对常用抗菌药物耐药率总体呈连续缓慢下降趋势,但MRSA检出率无明显变化。SP药敏结果显示:未发现对万古霉素和利奈唑烷耐药菌株,而对红霉素、克林霉素、四环素和复方新诺明的耐药率较高,2012~2016年药敏结果有一定的波动。结论 院SA院感控制较好,但分离的SP耐药情况总体不乐观,临床经验用药时需考虑本院的具体情况,根据药敏结果合理使用抗菌药物尤为重要。

关键词: 金黄色葡萄球菌, 肺炎链球菌, 耐药性, 趋势

Abstract: Objective To investigate the current status of Staphylococcus aureus and streptococcus pneumoniae infection in our hospital from 2012 to 2016 and their drug resistance in order to provide reference for clinical medication.Methods The retrospective analysis was performed on the separation condition and the drug resistance of Staphylococcus aureus and streptococcus pneumoniae from the bacterial culture among the inpatients of our hospital from 2012 to 2016. Results A total of 18 966 strains of pathogenic bacteria were isolated from all kinds of specimens,and 1 697 strains of Staphylococcus aureus were isolated. Among them,623 strains were methicillin resistant Staphylococcus aureus (MRSA),accounting for 36.71%,Streptococcus pneumoniae 353,and the isolation rate was 1.86%.The main sources of the samples were sputum,secretion and blood;the departments with Staphylococcus aureus infection were mainly the ICU,neurosurgery,orthopedics and geriatric ward。The isolation rate of SA in 5 years and the antimicrobial resistance rate showed a continuous slow downward trend,but the detection rate of MRSA had no obvious change。The Results of SP showed that no vancomycin or linezolid resistant strains were found,The resistance rates of erythromycin,clindamycin,tetracycline and sulfamethoxazole were higher,There was a certain fluctuation of drug sensitivity in 2012-2016 year.Conclusion Our hospital SA hospital infection control is better,but the drug resistance of SP isolated from our hospital was not optimistic. clinicians should still pay more attention to the clinical rational use of antibiotics according to drug susceptibility test Results.

Key words: Staphylococcus aureus, Streptococcus pneumoniae, Drug resistance, Trend

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