Monica Licker, A Anghel, Anca Tutelcă, Cristina Orb, Liliana Dragomirescu, Luminiţa Bădiţoiu, Delia Berceanu Văduva, Mihaela Crăciunescu, Delia Muntean, Elena Hogea, Roxana Moldovan
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引用次数: 0
摘要
目的:了解外科多耐药菌的流行情况及其主要耐药表型和基因型。方法:采用API系统(BioMerieux France)进行细菌鉴定，药敏试验采用圆盘扩散试验(CLSI标准)，自动读数法(Osiris-Bio Rad Laboratories)。产生ESBL的大肠杆菌和肺炎克雷伯菌菌株也进行了基因分型。结果:190份标本(尿、伤口分泌物、血液等);我们分离出106株具有医院应用潜力的微生物菌株。其中肠杆菌56株(52.83%)，革兰氏阴性非发酵棒26株(24.52%)，革兰氏阳性球菌24株(22.64%)。结论:我们注意到多药耐药细菌(ESBL、MRSA等)的高发。其中以院内手术部位和尿路感染为主。
[Considerations regarding the nosocomial potential of surgical wards].
Purposes: The aim of our study was to determine the prevalence of multiresistant germs with nosocomial potential and their main resistance phenotype and genotype patterns in surgical departments.
Methods: Identification of germs was performed by the API system (BioMerieux France) and susceptibility tests by disk-diffusion tests, (CLSI standards) with automatic reading methods (Osiris-Bio Rad Laboratories). ESBL producing E. coli and Klebsiella pneumoniae strains have been also genotyped.
Results: From 190 samples (urines, wound secretions, blood, etc.); we isolated 106 microbial strains with nosocomial potential. 56 (52.83%) from these strains were represented by enterobacteria, 26 (24.52%) by Gram negative non-fermentative rods, and 24 (22.64%) by Gram positive cocci.
Conclusions: We noticed a high prevalence of multidrug resistant germs (ESBL, MRSA, etc). The majority of them were involved in nosocomial surgical site and urinary tract infections.
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