2013-2014年非痰标本鲍氏不动杆菌临床分布特征及耐药性变迁

Clinical distribution characteristics and changes of drug resistance of Acinetobacter baumannii in non-sputum specimens from 2013 to 2014

  • 摘要: 目的 了解医院2013-2014年非痰标本鲍氏不动杆菌的临床分布特征及耐药性变迁。方法 收集2013年1月-2014年12月医院检验科分离239株非痰标本鲍氏不动杆菌,采用自动化仪器法及微量肉汤稀释法进行药敏试验,采用SPSS22.0软件对实验结果进行统计分析。结果 鲍氏不动杆菌主要分布科室为ICU,占46.86%,血液标本检出率最高,占32.64%;对大多数常用抗菌药物的耐药率较高,>50.00%,且有逐年升高趋势(P<0.05);耐药鲍氏不动杆菌对替加环素、米诺环素敏感性较高。结论 医院非痰标本鲍氏不动杆菌对常用抗菌药物的耐药率有逐年升高趋势,耐药鲍氏不动杆菌对替加环素、米诺环素较敏感,可作为经验用药的候选药物。

     

    Abstract: OBJECTIVE To understand the clinical distribution characteristics and changes of drug resistance of Acinetobacter baumannii in non-sputum specimens of our hospital during 2013-2014. METHODS Totally 239 strains of pathogens isolated from non-sputum specimens were collected from Jan. 2013 to Dec. 2014 in the hospital. Automation instrument method and broth dilution method were used for the drug sensitive test, and the results were statistically analyzed with the SPSS22.0 software. RESULTS A.baumannii mainly distributed in the ICU, accounting for 46.86%. The highest detection rate was blood specimen,accounting for 32.64%. The drug resistant rates to the most commonly used antibiotics were more than 50%, and there was an increasing trend year by year(P<0.05). Resistant A.baumannii had higher sensitivities to tigecycline and minocycline. CONCLUSION The resistant rate of A.baumannii in non-sputum specimens to commonly used antimicrobial agents in hospital has an increasing trend year by year, and resistant A.baumannii has higher sensitivity to tigecycline and minocycline, which can be used as empirical drug candidates.

     

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