[1]尹利娟,杨振华,杨乐园.2014~2016年嗜麦芽窄食单胞菌感染临床分布及耐药性分析[J].医学信息,2018,31(03):128-129.[doi:10.3969/j.issn.1006-1959.2018.03.044]
　YIN Li-juan,YANG Zhen-hua,YANG Le-yuan.Clinical Distribution and Drug Resistance Analysis of Stenotrophomonas Maltophilia Infection from 2014 to 2016[J].Journal of Medical Information,2018,31(03):128-129.[doi:10.3969/j.issn.1006-1959.2018.03.044]
点击复制

2014~2016年嗜麦芽窄食单胞菌感染临床分布及耐药性分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年03期
页码:
128-129
栏目:
调查分析
出版日期:
2018-02-01

文章信息/Info

Title:
Clinical Distribution and Drug Resistance Analysis of Stenotrophomonas Maltophilia Infection from 2014 to 2016
文章编号:
1006-1959（2018）03-0128-02
作者:
尹利娟; 杨振华; 杨乐园
上海市宝山区中西医结合医院检验科，上海 201999
Author(s):
YIN Li-juan; YANG Zhen-hua; YANG Le-yuan
Department of Clinical Laboratory,Integrative Medicine Hospital,Shanghai 201999,China
关键词:
嗜麦芽窄食单胞菌; 临床分布; 抗菌药物; 耐药率
Keywords:
Stenotrophomonas maltophilia; Clinical distribution; Antimicrobial; Drug resistance rate
分类号:
R446.5
DOI:
10.3969/j.issn.1006-1959.2018.03.044
文献标志码:
A
摘要:
目的 分析我院2014年~2016年所分离嗜麦芽窄食单胞菌在临床标本中的分布和对常用抗菌药物的耐药性。方法 用西门子MicroScan WalkAway96全自动微生物鉴定/药敏测试系统进行细菌鉴定和药物敏感试验，依照CLSI制定的最新判断标准判断药敏试验结果。结果 3年间共检出109株嗜麦芽窄食单胞菌，主要来源于呼吸道痰标本，占83.49%，ICU病区检出最高，占36.70%；其次为急诊科、血液科和神经外科。嗜麦芽窄食单胞菌对复方新诺明和左氧氟沙星敏感性较高，分别为88.99%和79.82%；耐药率较高的是头孢他啶，为74.31%。结论 我院2014年~2016年嗜麦芽窄食单胞菌主要集中在ICU，其次为血液科和神经外科，以呼吸道感染居多。药敏结果显示对复方新诺明和左氧氟沙星敏感性好，替卡西林/棒酸和头孢他啶耐药率较高。
Abstract:
Objective To analyze the distribution of Stenotrophomonas maltophilia isolated from our hospital from 2014 to 2016 and its resistance to common antimicrobial agents.Methods Bacteria identification and drug susceptibility testing were performed with Siemens MicroScan WalkAway 96 automated microbiology identification/susceptibility testing system to determine susceptibility testing results according to the latest judging criteria developed by CLSI.Results A total of 109 strains of Stenotrophomonas maltophilia were detected in the 3 years,mainly from sputum samples of respiratory tract,accounting for 83.49%, ICU ward highest accounting for 36.70%,followed by emergency department,hematology and nerves surgery.Stenotrophomonas maltophilia was highly sensitive to cotrimoxazole and levofloxacin,accounting for 88.99% and 79.82%,respectively.Ceftazidime with high resistance rate was 74.31%.Conclusion Our hospital from 2014 to 2016 Stenotrophomonas maltophilia mainly concentrated in the ICU,followed by hematology and neurosurgery,with respiratory tract infections.Susceptibility results show that the combination of cotrimoxazole and levofloxacin good sensitivity,ticarcillin/clavulanic acid and ceftazidime high resistance rate.

参考文献/References:

[1]Azak A,Kocak G,Huddam B,et al.An unusual cause of continuous ambulatory peritoneal dialysis-associated outpatient peritonitis:Stenotrophomonas mahophilia[J].Am J Infect Control,2011,39(7):618.
[2]尤旭,孙恒彪,黄敬,等.140株嗜麦芽窄食单胞菌的临床分布及耐药性分析[J].新医学,2015,46(6):383-386.
[3]储从家,吴惠玲.445株嗜麦芽窄食单胞菌的分布及耐药性分析[J].中国微生态学杂志,2014,26(8):928-930.
[4]解翠花,王丽.嗜麦芽窄食单胞菌96例临床分布及耐药性分析[J].实用医技杂志,2016,23(8):837-838.
[5]艾效曼,胡云建,胡志东,等.2012 年中国CHINET嗜麦芽窄食单胞菌耐药性监测[J].中国感染与化疗杂志,2014,14(6):488-492.
[6]Brooke JS.Stenotrophomonas maltophilia:an emerging global opportunistic pathogen[J].Clin microbial Rev,2012,25(1):2.

相似文献/References:

[1]李淑惠.鲍曼不动杆菌临床分布及耐药性分析[J].医学信息,2018,31(03):165.[doi:10.3969/j.issn.1006-1959.2018.03.061]
　LI Shu-hui.Clinical Distribution and Drug Resistance of Acinetobacter Baumannii[J].Journal of Medical Information,2018,31(03):165.[doi:10.3969/j.issn.1006-1959.2018.03.061]
[2]曾 江,邹 燕,刘 滨.耐甲氧西林金黄色葡萄球菌的临床分布及耐药性分析[J].医学信息,2019,32(02):148.[doi:10.3969/j.issn.1006-1959.2019.02.043]
　ZENG Jiang,ZOU Yan,LIU Bin.Clinical Distribution and Drug Resistance Analysis of Methicillin-resistant Staphylococcus Aureus[J].Journal of Medical Information,2019,32(03):148.[doi:10.3969/j.issn.1006-1959.2019.02.043]
[3]罗 坤,熊耀翼,李辉霞,等.2017~2019年四川省第四人民医院主要病原菌临床分布及耐药性分析[J].医学信息,2020,33(02):97.[doi:10.3969/j.issn.1006-1959.2020.02.026]
　LUO Kun,XIONG Yao-yi,LI Hui-xia,et al.Clinical Distribution and Drug Resistance Analysis of Main Pathogenic Bacteria in Sichuan Provincial Fourth People’s Hospital from 2017-2019[J].Journal of Medical Information,2020,33(03):97.[doi:10.3969/j.issn.1006-1959.2020.02.026]
[4]屈玉华,陈凤鸣,范润平.嗜麦芽窄食单胞菌感染患者死亡危险因素的Meta分析[J].医学信息,2022,35(23):69.[doi:10.3969/j.issn.1006-1959.2022.23.011]
　QU Yu-hua,CHEN Feng-ming,FAN Run-ping.Meta-analysis of Risk Factors for Death in Patients with Stenotrophomonas Maltophilia Infection[J].Journal of Medical Information,2022,35(03):69.[doi:10.3969/j.issn.1006-1959.2022.23.011]

更新日期/Last Update: 2018-02-01