|本期目录/Table of Contents|

[1]王效雷,罗 婕,丁兆霞,等.119例导尿管相关性尿路感染的病原体分布及耐药性分析[J].医学研究与战创伤救治(原医学研究生学报),2015,17(01):46-48.[doi:10.3969/j.issn.1672-271X.2015.01.015]
 WANG Xiao-lei,LUO Jie,DING Zhao-xia,et al.Analysis on the distribution and the antimicrobial resistance of pathogens from 119 cases of catheter associated urinary tract infection[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(01):46-48.[doi:10.3969/j.issn.1672-271X.2015.01.015]
点击复制

119例导尿管相关性尿路感染的病原体分布及耐药性分析()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年01期
页码:
46-48
栏目:
出版日期:
2015-01-31

文章信息/Info

Title:
Analysis on the distribution and the antimicrobial resistance of pathogens from 119 cases of catheter associated urinary tract infection
作者:
王效雷罗 婕丁兆霞曹地芹娄 瑞
210002 江苏南京,解放军81医院感染控制科
Author(s):
WANG Xiao-lei LUO Jie DING Zhao-xia CAO Di-qin LOU Rui.
Infection Control Department, 81 Hospital of PLA, Nanjing, Jiangsu 210002, China
关键词:
导尿管相关性尿路感染病原体抗菌药物细菌耐药率
Keywords:
catheter associated urinary tract infection (CAUTI) pathogens antimicrobial drug bacterial resistance rate
分类号:
R691.3;R446.5
DOI:
10.3969/j.issn.1672-271X.2015.01.015
文献标志码:
A
摘要:
目的 掌握导尿管相关性尿路感染(catheter associated urinary tract infection,CAUTI)的病原体分布以及耐药性特征,为控制尿路感染提供依据。方法 通过统计2012年1月-2014年6月解放军81医院119例CAUTI尿液微生物培养及药敏结果,分析CAUTI病原体分布及耐药性特征。结果 119例CAUTI尿液标本中检出病原菌97株,前6位病原体依次为大肠埃希菌(26.80%)、粪肠球菌(15.46%)、白色念珠菌(11.34%)、屎肠球菌(10.31%)、铜绿假单胞菌(5.15%)和凝固酶阴性葡萄球菌(5.15%),并呈现出多耐药性,部分耐药率超过2013年Chinet的相关监测结果。结论 应加强CAUTI病原体耐药性监测和临床合理用药监管,重视对多重耐药菌的隔离预防和对CAUTI的预防干预。
Abstract:
Objective To obtain the pathogens distribution and drug resistance characteristics of catheter associated urinary tract infection (CAUTI), so as to provide the evidence of controlling urinary tract infection. Methods 119 cases of CAUTI microbial culture and drug sensitive were collected and analyzed from January 2012 to June 2014. Results Isolated 97 pathogens from 119 urine specimens. Top 6 pathogens were: Escherichia coli (26.80%), Enterococcus faecalis (15.46%), Candida albicans (11.34%), Feces Enterococcus (10.31%), Pseudomonas aeruginosa (5.15%), Coagulase negative staphylococcus (5.15%), and the multidrug-resistance was found. Some bacterial resistance rate was higher than the results of chinet 2013 surveillance. Conclusion The surveillance of bacterial resistance and the supervision of clinical rational drug use should be enhanced, and the further heavy interventions should be necessary to prevent the contact transmission of the multidrug-resistant organisms and CAUTI also.

参考文献/References:

[1]熊 星,杨江根,方烈奎.泌尿系留置导管相关感染的原因及其预防[J].临床泌尿外科杂志,2011,26(12):958-960.
[2]韦咏坊.留置导尿与尿路感染相关因素的研究进展[J].护士进修杂志,2010,25(3):206-208.
[3]吴 娟,单 君.留置尿管伴随性尿路感染的预防现状[J].中华护理杂志,2010,45(10):958-960.
[4]Clinical and Laboratory Standard Institute.Performance standards for antimicrobial susceptibility testing;nineteenth informational supplement[S].Wayne:Clinical and Laboratory Standards institute,2012.
[5]卫生部医院感染监控协调小组.《医院感染诊断标准》(试行)[J].中华医学杂志,2001,81(5):314-320.
[6]胡付品,朱德妹,汪 复,等.2013年中国CHINET细菌耐药性监测[J].中国感染与化疗杂志,2013,14(5):367-378.
[7]郑 波,吕 媛.卫生部全国细菌耐药监测网2011年男性尿标本来源细菌耐药监测[J].中国临床药理学杂志,2012,28(12):893-898.
[8]齐慧敏,吕 媛.卫生部全国细菌耐药监测网2011年女性尿标本来源细菌耐药监测[J].中国临床药理学杂志,2012,28(12):899-904.
[9]陈 倩,王 茹,郭燕菊,等.泌尿系统分离肠球菌耐药性分析[J].国际检验医学杂志,2013,34(19):2542-2545.
[10]孙瑞珍.重症监护病房的医院感染临床研究[J].东南国防医药杂志,2008,10(1):13-15.
[11]石晓卉,刘 琪,于湘友.外科重症监护室临床细菌分布及耐药性监测[J].东南国防医药杂志,2014,16(4):349-352.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2015-01-20