检验科微生物室病原菌检测结果分析

Detection of pathogens in microbiology room of clinical laboratory

  • 摘要: 目的 调查医院检测微生物室标本检测结果,探讨病原菌耐药性,为临床防治提供依据。方法 回顾性分析2014年4月-2015年10月12 280份检验科微生物室标本检测结果资料,分析标本的来源和阳性率,以及病原菌分布与耐药性。结果 经临床检验12 280份标本,共分离2 784株病原菌,其中革兰阴性菌2365株占84.9%,革兰阳性菌344株占12.4%;真菌75株占2.7%;革兰阴性菌包括:鲍氏不动杆菌、大肠埃希菌、铜绿假单胞菌等,对氨苄西林、磺胺甲噁唑/甲氧苄啶等抗菌药物高度耐药,耐药率>50%;革兰阳性菌包括:金黄色葡萄球菌、粪肠球菌、表皮葡萄球菌等,对青霉素G高度耐药,耐药率>50%。结论 医院病原微生物检出多为革兰阴性菌,且存在对多种抗菌药物的耐药性,应引起临床重视。

     

    Abstract: OBJECTIVE To investigate the test result of samples from clinical microbiological laboratory, explore the distribution and drug resistance of pathogens, so as to provide evidence for clinical prevention and treatment. METHODS The data of test result of samples from Apr. 2014 to Oct. 2015 in clinical microbiological laboratory were retrospectively analyzed. The sources and positive rate of samples, and the distribution and drug resistance of pathogens were investigated and analyzed. RESULTS Totally 2784 strains of pathogens were isolated, including 2365 strains of gram-negative bacteria, accounted for 84.9%, 344 strains of gram-positive bacteria, accounted for 12.4%, and 75 strains of fungi, accounted for 2.7%, respectively. The gram-negative bacteria included Acinetobacter baumanii, Escherichia coli, Pseudomonas aeruginosa, etc, and they were resistant to ampicillin, compound sulfamethoxazole, with the drug resistant rate >50%. The gram-positive bacteria including: Staphylococcus aureus, Enterococcus faecalis, Staphylococcus epidermidis, etc, and they were resistant to penicillin G, with the drug resistant rate >50%. CONCLUSION Most of pathogens are gram-negative bacteria which were multi-drug resistant. It should be paid attention to hospital management.

     

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