2013-2015年老年患者MRSA菌株分布和耐药性趋势分析

Distribution and drug resistance of MRSA among elderly patients during 2013-2015

  • 摘要: 目的 了解医院老年患者感染耐甲氧西林金黄色葡萄球菌的耐药性及分布特点,评估医院感染控制结果,为临床合理用药提供依据。方法 收集2013年-2015年使用MicroScan-autoSCAN4半自动细菌鉴定仪鉴定出281株耐甲氧西林金黄色葡萄球菌(MRSA)的药敏结果和临床资料,采用WHONET 5.6软件对统计结果进行分析。结果 MRSA菌株的检出数依次下降,由2013年的104株降至2015年的79株;在所有的送检标本中,痰标本金黄色葡萄球菌检出比最高占44.83%;血液标本中未发现MRSA菌株;药敏结果分析发现MRSA对青霉素G、苯唑西林完全耐药。结论 老年患者MRSA检出率较高,集中管理危重患者,合理有效的使用抗菌药物,及时调整用药有利于控制MRSA的感染。

     

    Abstract: OBJECTIVE To investigate the drug resistance status and the distribution of methicillin-resistant Staphylococcus aureus (MRSA) among elderly patients in hospital , assess the result of the control of hospital infection, so as to provide basis for the reasonable clinical application of antibiotics. METHODS The drug sensitivity and clinical data of 281 cases of MRSA were collected from 2013 to 2015,these strains were identified by MicroScan-autoSCAN4 semi automatic bacteria identification instrument. The statistical results were analyzed by WHONET 5.6 software. RESULTS The number of identification of MRSA was decreased in turn, from 104 in 2013 to 79 in 2015. In all specimens of inspection, the highest rate of isolation of MRSA was 44.48% from the sputum specimens, and there was not findiy of MRSA in blood specimens. Drug sensitivity analysis showed that MRSA was completely resistant to penicillin G and oxacillin. CONCLUSION The rate of identification of MRSA is higher in elderly patients. Centralized management in critically ill patients, reasonable and effective use of antibiotics and timely adjustment of medication are conducive to the control of MRSA infection.

     

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