妇科肿瘤患者医院感染病原菌分布及耐药性分析
慕玉东;郝妮娜;张涛;代佳;袁志敏;刘斯扬;李林
【期刊名称】《现代肿瘤医学》 【年(卷),期】2018(026)010
【摘要】目的:对妇科肿瘤患者医院感染病原菌的分布特点及耐药性进行分析,为临床治疗提供依据.方法:回顾性分析2010年1月至2017年7月住院治疗的妇科肿瘤患者851例,对其感染的病原菌分布及药敏进行分析统计.结果:发生医院感染72例,感染率为8.46%;共检出83株病原菌,革兰阴性菌(57株)占68.68%,革兰阳性菌(21株)占25.30%,真菌(5株)占6.02%;大肠埃希菌对头孢唑林及氨苄西林的耐药率较高,铜绿假单胞菌对氨苄西林、头孢唑林、复方新诺明的耐药率较高,金黄色葡萄球菌对青霉素、红霉素的耐药率较高.结论:妇科肿瘤患者医院感染以革兰氏阴性杆菌为主,革兰氏阳性菌次之,细菌耐药现象严重,临床上要根据药敏结果合理选用抗菌药物,有效提高疗效.%Objective:To analyze distribution characteristics and drug resistance of nosocomial infection pathogen of patients with gynecological tumors.Methods:851 patients with gynecological tumors who were admitted to our hos-pital from January 2010 to July 2017 were retrospectively analyzed.Results:The nosocomial infections occurred in 72 cases with the infection rate of 8.46%,83
strains
pathogenic
bacteria
were
detected,including
57(68.68%)srains of gram-negative bacteria,21(25.30%)strains of gram-positive bacteria,and 5(6.02%)strains of fungi.Escherichia coli were of the higher resistant rate for cefazolin and ampicillin,pseudomonas