2019年三亚市某医院细菌耐药性监测结果分析

Surveillance and analysis of drug-resistant bacteria in a hospital of Sanya in 2019

  • 摘要: 目的 了解海南省三亚市某医院临床分离菌对临床常用抗菌药的敏感性和耐药性。方法 收集2019年1月1日-2019年12月31日海南省三亚市某医院临床分离株,细菌鉴定和药敏试验采用细菌鉴定药敏分析仪进行测定,并用纸片扩散法补充进行。根据美国临床和实验室标准化协会标准判断结果,用WHONET 5.6软件进行数据分析。结果 2019年共收集临床分离株共3 853株,其中革兰阳性菌858株,占22.27%,革兰阴性菌2 603株,占67.56%。金黄色葡萄球菌和凝固酶阴性葡萄球菌中甲氧西林耐药株的平均检出率分别为11.29%和43.31%。甲氧西林耐药株对多数测试药的耐药率均高于甲氧西林敏感株,未发现耐万古霉素的菌株。粪肠球菌对多数测试抗菌药的耐药率均低于屎肠球菌,未发现万古霉素的耐药株。肺炎链球菌非脑膜炎株对青霉素的耐药率为6.25%。鲍氏不动杆菌对亚胺培南和美罗培南的耐药率分别为29.21%和34.92%。铜绿假单胞菌对亚胺培南和美罗培南的耐药率分别为1.57%和1.83%。结论 临床应加强细菌耐药监测,遏制耐药细菌的进一步流行播散。

     

    Abstract: OBJECTIVE To investigate the drug-susceptibility and drug-resistance of clinical bacteria isolated from one hospital in Sanya city of Hainan province. METHODS Clinical isolates from a hospital in Sanya City of Hainan Province were collected from Jan 1, 2019 to Dec 31, 2019. Bacteria identification and drug sensitivity test were determined by bacterial identification and drug sensitivity analyzer, and supplemented by paper diffusion method. Results were determined according to the CLSI standards, and data were analyzed by using WHONET 5.6 software. RESULTS A total of 3853 clinical isolates were collected from Jan to Dec 2019, of which 858 strains were gram positive, accounting for 22.27%, and 2603 strains were gram negative, accounting for 67.56%. The average detection rate of methicillin-resistant strains in S. aureus(MRSA) and coagulase negative Staphylococcus(MRCNS)were 11.29% and 43.31%, respectively. The drug-resistance rates of MR strains to most of other antimicrobial agents were much higher than those of MS strains. No Staphylococcal strains were found resistant to vancomycin.The drug resistance rates of E. faecalis strains to most tested drugs were much lower than those of E. faecium; strains resistant to vancomycin were not found. The non-meningitis strains of S.pneumoniae had a drug resistance rate of 6.25% to penicillin. The drug resistance rates of A. baumannii strains to imipenem and meropenem were 29.21% and 34.92%, respectively. The drug resistance rates of P. aeruginosa strains to imipenem and meropenem were 1.57% and 1.83%, respectively. CONCLUSION The resistance of clinical isolates to common antimicrobial drugs is still high; especially strains in all bacteria genera of Enterobacteriaceae were carbapenems resistant. Therefore, clinical monitoring of bacterial resistance should be strengthened to prevent the further spread of drug-resistant bacteria.

     

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