目的 了解住院患者感染的金黄色葡萄球菌(methicillin sensitive staphylococcus aureus,MSSA)对常用抗生素的耐药情况,以指导临床合理使用抗生素。 方法 应用VITEK32微生物自动鉴定分析系统,采用K-B法对2009-03至2011-10临床各科室分离的158株MSSA进行药物敏感性试验,并对其药敏结果进行统计分析。 结果 158株MSSA中耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)96株,占60.76%,对青霉素G、氨苄西林100%耐药,对万古霉素100%敏感;对甲氧西林敏感MSSA,占39.24%,对青霉素G、氨苄西林耐药率分别为69.35%和67.74%,对利奈唑胺、喹努普汀/达福普汀和万古霉素100%敏感。 结论 MSSA是临床感染的主要病原菌之一,分析MSSA耐药情况,可以指导临床合理选用抗生素。
Abstract
Objective To study the resistance of clinically-isolated Staphylococcus aureus to antimicrobial agents so as to facilitate the rational use of antibiotics. Methods The pathogenic bacteria were evaluated by VITEK32. Drug susceptibility test was carried out by K-B method. The results of 158 strains of Staphylococcus aureus were analysed by WHONET. Results 96 strains of MRSA were detected from 158 strains of Staphylococcus aureus ,which accounted for 60.76%. All the MRSA was resistant to penicillin and ampicillin but was sensitive to vancomycin. The resistance rate of MSSA to penicillin and ampicillin was 69.35% and 67.74%, respectively, and all the MSSA was sensitive to linezolid, quinupristin/dalfopristin and vancomycin. Conclusions Staphylococcus aureus is one of the main pathogens of clinical infection. Analysis of drug resistance of Staphylococcus aureus can guide the clinical use of antibiotics.
关键词
耐甲氧西林金黄色葡萄球菌 /
耐药 /
药敏试验
Key words
methicillin-resistant /
Staphylococcus aureus /
drug resisitance /
drug susceptibility test
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