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目的分析嗜水气单胞菌的临床科室分布和耐药性,为临床合理使用抗菌药物提供参考依据。方法对2011年-2015年肠道外分离的嗜水气单胞菌采用WHONET 5.6进行菌株和药物敏感性分析,数据用Excel进行统计处理。结果79株嗜水气单胞菌的标本来源以创口为主,占67.1%;临床科室分布以手外科为主,占24.1%;药物敏感性结果显示,嗜水气单胞菌对氨苄西林/舒巴坦、氨苄西林有较高的耐药率。结论嗜水气单胞菌引起的肠外感染以创口感染为主,且以中老年人和夏秋季多见。临床上治疗要根据药敏结果合理用药,减少耐药菌株的产生。机体应提升自身免疫力,避免接触污水,受天然水污染的伤口应及时清洁消毒。
Objective To analyze the distribution and drug resistance of Aeromonas hydrophila in clinical departments and to provide a reference for the rational use of antibacterials in clinic. Methods The strains and drug susceptibility of Aeromonas hydrophila isolated from 2011 to 2015 were analyzed by WHONET 5.6. The data were statistically analyzed by Excel. Results 79 strains of Aeromonas hydrophila were originated mainly from wounds, accounting for 67.1%. The clinical departments were dominated by hand surgery, accounting for 24.1%. The results of drug sensitivity showed that Aeromonas hydrophila strains were sensitive to ampicillin / Sulbactam, ampicillin have a higher resistance rate. Conclusion Aeromonas hydrophila infection caused by wound infection is the most common infection in middle-aged and elderly people and in summer and autumn. Clinical treatment should be based on drug susceptibility results rational use of drugs to reduce the generation of drug-resistant strains. The body should enhance its own immunity, to avoid contact with sewage, wounds contaminated by natural water should be promptly cleaned and disinfected.