肿瘤中心连续7年病原菌药物敏感性变迁研究

Change of drug susceptibility of pathogens isolated from cancer center in 7 consecutive years

  • 摘要: 目的 分析中山大学肿瘤防治中心病原菌对抗菌药物敏感性变迁的特点,以指导临床治疗。方法 回顾性调查分析2009-2015年临床各科室的送检标本,用法国生物梅里埃公司VITEK-32微生物鉴定系统进行菌种鉴定和药物敏感性分析,并采用EXCEL8.0软件对结果进行分析。结果 2009-2015年,部分病原菌对抗菌药物的敏感性呈下降趋势,其中鲍氏不动杆菌的敏感性下降幅度最大,亚胺培南对铜绿假单胞菌以及鲍氏不动杆菌的敏感性在2011年、2012年达到最低值后又逆转呈上升趋势; 部分病原菌对抗菌药物的敏感性相对稳定,例如肺炎克雷伯菌、肠球菌属以及真菌; 但铜绿假单胞菌对庆大霉素以及左氧氟沙星,葡萄球菌属对莫西沙星和庆大霉素,链球菌属对左氧氟沙星的敏感性有上升趋势。结论 肿瘤中心的病原菌药物敏感性变化趋势呈多样性,对部分抗菌药物的敏感性呈上升趋势或达最低值后又逆转上升,可能与抗菌药物使用管控措施有关。

     

    Abstract: OBJECTIVE To investigate the characteristics of change of drug susceptibility of pathogens isolated from Sun Yat-sen University Cancer Center so as to provide guidance for the clinical treatment. METHODS From 2009 to 2015, the submitted specimens from the clinical departments were retrospectively investigated, then the pathogens were identified by using VITEK-32 microorganism identification system of BioMérieux, France, the drug susceptibility testing was performed, and the result was analyzed with the use of EXCEL8.0 software. RESULTS From 2009 to 2015, the drug susceptibility of some species of pathogens showed a downward trend, the drug susceptibility of the Acinetobacter baumannii showed the greatest decline, the drug susceptibility of Pseudomonas aeruginosa and A.baumannii to imipenem reached the lowest value in 2011, 2012 and subsequently showed an upward trend.Some species of pathogens, such as Klebsiella pneumoniae, Enterococcus spp, and fungi, showed relatively stable drug susceptibility.The drug susceptibility of the P.aeruginosa to gentamycin and levofloxacin, drug susceptibility of the Staphylococcus spp to moxifloxacin and gentamycin, and drug susceptibility of Streptococcus spp to levofloxacin showed upward trends. CONCLUSION The change trend of drug susceptibility of the pathogens isolated from the cancer center shows diversity; the drug susceptibility to some antibiotics shows a upward trend or reveal to upward trend again after reaching the lowest value, which may be related to the control measures for use of antibiotics.

     

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