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目的了解我院2013年1月~2013年12月新生儿科临床分离菌对各种常见抗菌药物的耐药性。方法采用回顾性分析,对医院2013年新生儿科住院患儿标本中分离的病原菌进行统计和耐药分析。结果我院新生儿科标本类型以痰标本为主,占43.4%,溶血葡萄球菌占总分离菌的13.9%;肺炎克雷伯菌占22.9%,大肠埃希菌占22.2%。耐甲氧西林表皮葡萄球菌(MRSE)15例,占9%;耐甲氧西林金黄色葡萄球菌(MRSA)2例,占1.2%,结论新生儿主要以革兰阴性感染为主,多重耐药菌中产ESBLS菌占主要部分,并耐碳青霉烯类菌株。加强细菌的耐药性检测,对于正确合理选用抗菌药物和控制细菌耐药性的产生十分重要。
Objective To understand the resistance of clinical isolates of neonates to various common antibiotics in our hospital from January 2013 to December 2013. Methods A retrospective analysis was conducted to analyze the statistical analysis and drug resistance of pathogenic bacteria isolated from hospitalized neonatal patients in 2013. Results The samples of neonates in our hospital were mainly sputum samples, accounting for 43.4%, Staphylococcus haemolyticus accounted for 13.9% of the total isolates; Klebsiella pneumoniae accounting for 22.9% and Escherichia coli accounting for 22.2%. Methicillin-resistant Staphylococcus epidermidis (MRSE) in 15 cases, accounting for 9%; methicillin-resistant Staphylococcus aureus (MRSA) in 2 cases, accounting for 1.2%, the conclusion of neonatal mainly gram-negative infections, ESBLS bacteria in bacteria account for the major part, and resistant to carbapenem strains. Strengthening the detection of bacterial resistance is very important for proper and reasonable use of antibacterial drugs and control of bacterial resistance.