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[1]吳泉明,陳東杰,吳長生,等.福建省2023年病原菌特征及耐藥性分析[J].福建醫(yī)藥雜志,2024,46(08):13-17.[doi:10.20148/j.fmj.2024.08.004]
　WU Quanming,CHEN Dongjie,WU Changsheng,et al.Pathogen characteristics and drug resistance analysis of clinical infections in Fujian province[J].FUJIAN MEDICAL JOURNAL,2024,46(08):13-17.[doi:10.20148/j.fmj.2024.08.004]
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福建省2023年病原菌特征及耐藥性分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年08期
頁碼:
13-17
欄目:
臨床研究
出版日期:
2024-12-20

文章信息/Info

Title:
Pathogen characteristics and drug resistance analysis of clinical infections in Fujian province
文章編號:
1002-2600(2024)08-0013-05
作者:
吳泉明; 陳東杰; 吳長生; 吳紹蓮; 李瑤; 陳發(fā)林
福州大學(xué)附屬省立醫(yī)院,福州 350001
Author(s):
WU Quanming; CHEN Dongjie; WU Changsheng; WU Shaolian; LI Yao; CHEN Falin
Fuzhou University Affiliated Provincial Hospital, Fuzhou, Fujian 350001, China
關(guān)鍵詞:
病原菌分布;  抗菌藥物;  耐藥性;  細(xì)菌耐藥監(jiān)測
Keywords:
distribution of pathogenic bacteria;  antibacterial drugs;  drug resistance;  bacterial resistance surveillance
分類號:
R631
DOI:
10.20148/j.fmj.2024.08.004
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 分析福建省2023年臨床分離病原菌的分布特征及對常用抗菌藥物的耐藥性,為臨床合理用藥提供參考。方法 對全省60所醫(yī)院按統(tǒng)一方案進(jìn)行臨床分離菌株抗菌藥物敏感性試驗,數(shù)據(jù)采用WHONET5.6軟件進(jìn)行統(tǒng)計分析。結(jié)果 剔除重復(fù)菌株后,革蘭陽性菌55 995株(占30.3%),革蘭陰性菌128 804株(占69.7%),主要來自于痰、尿、血等。革蘭陽性菌檢出率前3位為金黃色葡萄球菌、糞腸球菌、肺炎鏈球菌; 耐甲氧西林金黃色葡萄球菌(MRSA)檢出率為27.3%,耐甲氧西林凝固酶陰性葡萄球菌(MRCNS)檢出率為73.9%; 未發(fā)現(xiàn)萬古霉素、替考拉寧、利奈唑胺耐藥葡萄球菌。革蘭陰性菌檢出率前3位為大腸埃希菌、肺炎克雷伯菌、銅綠假單胞菌; 大腸埃希菌對亞胺培南耐藥率為1.1%,對頭孢噻肟、左氧氟沙星耐藥率分別為46.9%、45.9%; 肺炎克雷伯菌對亞胺培南耐藥率為11.2%; 鮑曼不動桿菌對亞胺培南耐藥率為50.5%,對其他抗菌藥物耐藥率多數(shù)超過40%; 銅綠假單胞菌對亞胺培南耐藥率為17.0%,對其他大多數(shù)藥物亦保持較高敏感性。結(jié)論 福建省臨床感染的病原菌主要為大腸埃希菌、肺炎克雷伯菌和葡萄球菌等,部分病原菌耐藥較為嚴(yán)重,臨床應(yīng)正確、合理使用抗菌藥物。
Abstract:
Objective To explore the distribution characteristics of clinically isolated pathogens in Fujian Province and their resistance to commonly used antibiotics, and to provide reference for rational drug use in clinical practice.Methods Antimicrobial susceptibility tests on clinically isolated strains according to a unified protocol were conducted in sixty hospitals in the province, and data were analyzed using WHONET5.6 software.Results After removing duplicate strains, 55 995 Gram positive bacteria(30.3%)and 128 804 Gram negative bacteria(69.7%)were detected, mainly from sputum, urine, blood, etc.The top 3 Gram positive bacteria detection rates lied in staphylococcus aureus, enterococcus faecalis, streptococcus pneumoniae. The detection rates of MRSA and MRCNS were 27.3% and 73.9%, respectively.No vancomycin, teicoplanin, or linezolid resistant staphylococcus were found.The top 3 Gram negative bacteria detection rates lied in escherichia coli, klebsiella pneumoniae, pseudomonas aeruginosa.The resistance rate of escherichia coli to imipenem was 1.1%, while the resistance rates to cefotaxime and levofloxacin were 46.9% and 45.9%, respectively. The resistance rate of Klebsiella pneumoniae to imipenem was 11.2%; The resistance rate of acinetobacter baumannii to imipenem was 50.5%, and the resistance rate to other antibiotics was mostly over 40%.The resistance rate of pseudomonas aeruginosa to imipenem was 17.0%, and it also maintained high sensitivity to most other drugs.Conclusion The main pathogens causing clinical infections in Fujian province are Escherichia coli, klebsiella pneumoniae, and staphylococcus, etc.Some pathogens have severe drug resistance and should be used correctly and reasonably in clinical practice.

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通信作者:陳發(fā)林,Email:[email protected]
更新日期/Last Update: 2024-12-20