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ICU Bloodstream Infection Pathogen Distribution And Drug Resistance

Posted on:2015-02-12Degree:MasterType:Thesis
Country:ChinaCandidate:Z C ZhangFull Text:PDF
GTID:2284330431465194Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective: ICU bloodstream infections in the survey distribution and drug resistancs.And common pathogens provide the basis for rational use of antimicrobial drugs.toexplore appropriate measures to reduce bloodstream infections occur.Methods: Based on inclusion criteria and bloodstream infection cases diagnosticcriteria, collect from January2010to January2013the First Hospital ICU patients havebeen diagnosed with blood specimens infected patients were analyzed retrospectivelypathogen distribution and drug sensitivity test data observed resistance characteristicsbefore qualifying five common bacteria, resistance analysis conducted.Result: January2010to January2013the First Hospital ICU bloodstream infectiondiagnosed58patients were detected Gram-positive (G+) bacteria30(51.7%), Gram-negative (G—) bacteria25(43.1%) strains of fungi3(5.2%). Which ranks among thetop five of the bacteria Staphylococcus (15,25.8%),Acinetobacter baumannii (12,20.7%), Staphylococcus aureus (11,19.0%), Klebsiella pneumoniae (6,10.3%),Pseudomonas aeruginosa (4,6.9%). Staphylococcus epidermidis based G+, G—toAcinetobacter baumannii based, G+bacteria resistant to van was0, G—bacteria moldand hydrocarbon most sensitive enzymes.Conclusion: Nearly three years in the ICU bloodstream infection pathogens mainly skinstaphylococci and Acinetobacter baumannii is based, and Acinetobacter baumanniiresistant to the highest rate of glycopeptides and carbapenem as their drug of choice fortreatment.
Keywords/Search Tags:ICU, Pathogens, Blood culture, Resistance
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