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我院耐左氧氟沙星大肠埃希菌的耐药性分析
Analysis on Drug Resistance of Escherichia Coli Resistant to Levofloxacin in Our Hospital
  
DOI:
中文关键词:  大肠埃希菌  左氧氟沙星  耐药性
英文关键词:Escherichia coli  Levofloxacin  Drug resistance
基金项目:荆门市科技局计划项目(编号:2012S01)
作者单位
邵寅 荆门市第一人民医院药学部(湖北荆门448000) 
杨春 荆门市第一人民医院医院感染管理科 
廖秋霞 荆门市第一人民医院药学部 
田娟 荆门市第一人民医院医院感染管理科 
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中文摘要:
      摘 要 目的:分析我院耐左氧氟沙星大肠埃希菌的耐药性特点,为临床预防、控制、治疗大肠埃希菌感染提供依据。方法:对我院2014年2月1日~2015年2月1日临床分离的140株大肠埃希菌药敏试验结果进行统计分析。结果:140株大肠埃希菌中共检出耐左氧氟沙星75株,检出率为53.57%,主要从尿液(46.47%)中检出,其次为痰(14.67%)。除哌拉西林/他唑巴坦、头孢西林、头孢替坦、厄他培南、亚胺培南/西司他丁、庆大霉素、妥布霉素、呋喃妥因、复方磺腹甲噁外,耐左氧氟沙星菌株对氨苄西林、氨苄西林/舒巴坦、头孢他啶、头孢曲松、头孢匹美、氨曲南、阿米卡星、环丙沙星和产超广谱β 内酰胺酶(ESBLs)的耐药率明显高于非耐左氧氟沙星的菌株(P<0.05或P<0.01)。结论:大肠埃希菌对部分常用抗菌药的耐药性较高,应加强临床的耐药性监测,合理使用抗菌药物,延缓细菌耐药性的产生。
英文摘要:
      ABSTRACT Objective:To analyze the drug resistance characteristics of Escherichia coli resistant to levofloxacin, for clinical prevention, control and treatment of Escherichia coli infection to provide reference.Methods:the resistance feature in 140 strains of Escherichia coli collected in our hospital from February 1st, 2014 to February 1st,2015 were statistically analyzed. Results:Total of 75 strains resisted to levotloxacin were detected in 140 strains of Escherichia coli, and the detection rate was 53.57%. The main common specimens in which strains resisted to levotloxacin were detected were in turn the urina (46.47%) and the sputum (14.67%).Except for piperacillin/tazobala, cefacillin, cefotetanertapenem, imipenem/cilastatin, gentamycin, tobramycin, furantotin, SMZ plus TMP, the resistance rate of levotloxacin resistant strains were significantly higher than that of non Levofloxacin resistant strains to ampicillin, ampicillin/sulbactam, ceftazidime, ceftriaxone, cefepime, azactam, amikacin, ciprofloxacin, ESBLs(P<0.05 or P<0.01).Conclusion:Escherichia coli of some commonly used antibiotic resistance was higher, should strengthen the drug resistance of clinical monitoring, rational use of antimicrobial agents, delay the produce of antibiotic resistance.
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