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目的调查某医院病原学标本送检与检测情况,为了解该院病原菌分布和耐药性提供参考。方法通过回顾性调查方法,对某医院2012-2013年住院患者标本送检与检测结果进行调查与分析。结果该医院住院患者2012-2013年度总计送检标本5 027份,主要是痰液,总构成比为56.22%;其次是尿液和分泌物,构成比分别为12.25%和9.23%;其中检出多重耐药菌2 673株,占总数的62.08%。居前四位的病原菌分别是鲍曼不动杆菌、大肠埃希菌、铜绿假单胞菌和肺炎克雷伯菌,构成比依次为27.19%、19.23%、18.04%和13.86%。结论该医院住院患者送检的病原学标本主要是痰液、尿液和分泌物,检出的病原菌以革兰阴性杆菌为主,多重耐药菌占60%以上,应加强耐药菌监测和药敏试验。
Objective To investigate the etiological examination and detection of etiological specimens in a hospital, so as to provide reference for understanding the distribution and drug resistance of pathogens in the hospital. Methods The retrospective investigation method was used to investigate and analyze the results of inpatients’ submission and testing in 2012-13 in a hospital. Results A total of 5227 inpatients were admitted to the hospital in 2012-2013, mainly sputum, with a total constitutional ratio of 56.22%; followed by urine and secretions, with the constituent ratios of 12.25% and 9.23% 2 673 strains of multi-resistant bacteria, accounting for 62.08% of the total. The top four pathogenic bacteria were Acinetobacter baumannii, Escherichia coli, Pseudomonas aeruginosa and Klebsiella pneumoniae, with the proportions of 27.19%, 19.23%, 18.04% and 13.86%, respectively. Conclusion The etiological specimens of inpatients in this hospital are mainly sputum, urine and secretions. Gram-negative bacilli are the main pathogens detected, and multi-drug resistant bacteria account for more than 60%. Drug-resistant bacteria should be monitored and drug allergy testing.