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[1]方文婷,林瑞瓊,陳惠瑜,等.2014－2020年兒童腹水培養(yǎng)的細(xì)菌分布及耐藥性分析[J].福建醫(yī)藥雜志,2021,43(06):9-12.
　FANG Wenting,LIN Ruiqiong,CHEN Huiyu,et al.Analysis of bacterial distribution and drug resistance in children ascites culture from 2014 to 2020[J].FUJIAN MEDICAL JOURNAL,2021,43(06):9-12.
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2014－2020年兒童腹水培養(yǎng)的細(xì)菌分布及耐藥性分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年06期
頁(yè)碼:
9-12
欄目:
臨床研究
出版日期:
2021-12-15

文章信息/Info

Title:
Analysis of bacterial distribution and drug resistance in children ascites culture from 2014 to 2020
文章編號(hào):
1002-2600(2021)06-0009-04
作者:
方文婷; 林瑞瓊; 陳惠瑜; 邱華紅; 鐘匯
福建省婦幼保健院檢驗(yàn)科(福州 350001)
Author(s):
FANG Wenting;  LIN Ruiqiong;  CHEN Huiyu;  QIU Huahong;  ZHONG Hui
Department of Clinical Laboratory, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian 350001, China
關(guān)鍵詞:
兒童;  腹水;  病原菌;  耐藥性
Keywords:
children;  ascites;  pathogenic bacteria;  drug resistance
分類號(hào):
R725.7
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 了解兒童腹水培養(yǎng)陽(yáng)性標(biāo)本中的細(xì)菌學(xué)分布特點(diǎn)及耐藥情況,為臨床選擇抗菌藥物提供依據(jù)。方法對(duì)2014年1月至2020年12月我院兒科送檢的1 268份腹水培養(yǎng)標(biāo)本進(jìn)行細(xì)菌培養(yǎng)、細(xì)菌鑒定、藥敏分析。使用WHONET 5.6 軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果 分離出非重復(fù)病原菌235株,陽(yáng)性率為18.53%。其中革蘭陰性菌占69.36%; 革蘭陽(yáng)性菌占28.09%; 真菌占2.55%。病原菌排位依次為大腸埃希菌、肺炎克雷伯菌、屎腸球菌、糞腸球菌、銅綠假單胞菌、金黃色葡萄球菌和陰溝腸桿菌。分離出的大腸埃希菌對(duì)哌拉西林/他唑巴坦、頭孢他啶、頭孢吡肟、頭孢替坦、亞胺培南、美羅培南的敏感性較高(耐藥率均<12%),頭孢哌酮/舒巴坦的耐藥率為13.4%。肺炎克雷伯菌的耐藥率明顯高于大腸埃希菌。分離出的屎腸球菌耐藥率高于糞腸球菌,對(duì)利奈唑胺、萬(wàn)古霉素和替加環(huán)素均100.0%敏感。結(jié)論 兒童腹水培養(yǎng)標(biāo)本分離出的病原菌以革蘭陰性菌為主,其對(duì)抗菌藥物的耐藥情況較為嚴(yán)重,正確合理使用抗菌藥物,減少耐藥菌的產(chǎn)生顯得尤為重要。
Abstract:
Objective To investigate the bacteriological distribution and drug resistance of positive samples of ascites culture in children, and to provide a basis for clinical selection of antimicrobial agents.Methods Bacterial culture, bacterial identification and drug sensitivity analysis were performed on 1 268 ascites culture specimens from January 2014 to December 2020.WHONET 5.6 software was used for statistical analysis of the data.Results A total of 235 strains of non-duplicative pathogens were isolated and the positive rate was 18.53%.There were 163 gram-negative strains, accounting for 69.36%; 66 gram-positive strains, accounting for 28.09%; 6 strains of fungus, accounting for 2.55%.The top six pathogenic bacteria were Escherichia coli, Klebsiella pneumoniae, Enterococcus faecium, Enterococcus faecalis, Pseudomonas aeruginosa, Staphylococcus aureus and Enterobacter cloacae.The isolated Escherichia coli had high sensitivity to piperacillin/tazobactam, ceftazidime, cefepime, cefotetan, imipenem and meropenem(drug resistance rate <12%), and its drug resistance rate to cefoperazone/sulbactam was 13.4%.The drug resistance rate of Escherichia coli to most antibiotics was lower than that of Klebsiella pneumoniae.The isolated Enterococci were all 100.0% sensitive to linezolid, vancomycin and tigecycline, and the drug resistance rate of Enterococcus faecium was significantly higher than that of Enterococcus faecalis.Conclusion The pathogenic bacteria isolated from children's ascites culture specimens are mainly gram-negative bacteria, and their drug resistance to antibiotics is relatively serious.It is particularly important to use antibiotics correctly and rationally to reduce the emergence of drug-resistant bacteria.

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更新日期/Last Update: 2021-12-15