对医院抗生素的使用与细菌耐药性监测的分析Application of Clinical Antimicrobial Agents and Surveillance of Bacterial Resistance of Hospital
杨红英,陈振德,贾孟良,关小平,林山鹰,曾文莉
YANG Hong-ying, CHEN Zhen-de, JIA Meng-liang, GUAN Xiao-ping, LIN Shan-ying, ZENG Wen-li (Shenzhen People’s Hospital
摘要(Abstract):
目的监测抗生素的使用与临床主要分离菌的耐药率。方法通过电脑程序调取住院药房抗生素的消耗数量,并按用药频度(DDDs)进行排序;临床分离菌用Kirby Bauer法进行药敏试验。结果头孢菌素类、喹诺酮类、大环内酯类临床用药最为广泛;在抗生素DDDs的排序中前10位包括2种喹诺酮类和6种头孢菌素类,尤其头孢唑啉的使用频率最高。在临床分离菌中最常见的菌种为大肠埃希菌、凝固酶阴性葡萄球菌、铜绿假单胞菌、金黄色葡萄球菌等。结论抗生素管理与临床应用需进一步规范,细菌耐药监测应高度重视。
Objective To monitor the application of clinical antimicrobial agents and the bacterial resistance of 2006 in Shenzhen People’s hospital. Methods The DDDs order of antimicrobial agents in 2006 was estimated by computer. Antimicrobial susceptibility of the clinical isolated in 2006 were tested by Kirby-Bauer method. Results In the DDDs order, 2 kinds of 4-quinolones and 6 kinds of cephalosporin ranged in the top 10 seats, cefazolin ranged in the first seat. In clinical separated organisms, Escherichia coli, Coagulase negative staphylococcus (CNS), Pseudomonas aeruginosa, and Staphylococcus aureus occupied the top 4. Conclusion It is very important to promote the rational use of antibiotics to minimize drug resistance and take effective measures to control the spread of drug resistant bacteria.
关键词(KeyWords):
抗生素;DDDs;细菌耐药;合理用药
antimicrobial agents; DDDs; bacterial resistance; rational use of drug
基金项目(Foundation): 广东省医院药学研究基金资助项目(编号:2007028)
作者(Author):
杨红英,陈振德,贾孟良,关小平,林山鹰,曾文莉
YANG Hong-ying, CHEN Zhen-de, JIA Meng-liang, GUAN Xiao-ping, LIN Shan-ying, ZENG Wen-li (Shenzhen People’s Hospital
参考文献(References):
- 1马嘉,陈盛新,裘雪友.医院开展药物利用研究的基本概念和方法.中国药学杂志,1999,34(10):706-708.
- 2范振芹,王文华,于桂香,等.546株病原菌的耐药检测.中国医院药学杂志,2002,22(5):299-301.
- 3王辉,吴伟元,陈民钧.肠杆菌科细菌中超广谱β-内酰胺酶的研究.中华微生物学和免疫学杂志,2001,21:676-679.
- 4Chanawong A,M Zali FH,Heritage J,et al.Three cefotaximases,CTX-M-9,CTX-M-13,CTX-M-14,among Enterobacteriaceae in the People’s Republic China.Antimicrob Agents Chemother,2002,46:630-637.
- 5吴伟元,陈民钧,王辉.阴沟肠杆菌6株产超广谱β-内酰胺酶的基因型.中国抗感染化疗杂志,2001,1:155-159.
- 6余丹阳,刘又宁.AmpC酶和ESBL酶在阴沟肠杆菌中的表达及对其耐药性的影响.中华医学杂志,2002,82:1351-1358.
- 7文细毛,任南,徐秀华,等.全国医院感染监控网医院感染病原菌分布及耐药性分析.中华医院感染学杂志,2002,12(4):241-244.
- 杨红英
- 陈振德
- 贾孟良
- 关小平
- 林山鹰
- 曾文莉
YANG Hong-ying - CHEN Zhen-de
- JIA Meng-liang
- GUAN Xiao-ping
- LIN Shan-ying
- ZENG Wen-li (Shenzhen People’s Hospital
- 杨红英
- 陈振德
- 贾孟良
- 关小平
- 林山鹰
- 曾文莉
YANG Hong-ying - CHEN Zhen-de
- JIA Meng-liang
- GUAN Xiao-ping
- LIN Shan-ying
- ZENG Wen-li (Shenzhen People’s Hospital