文档介绍：临床儿科杂志第 31 卷第 6 期 2013 年 6 月 J Clin Pediatr · 543 ·
doi: - ·论著·
儿科重症监护病房病原菌分布及耐药率系统评价
邸春阳王爱华王凡
兰州大学第二医院小儿重症科(甘肃兰州 730000)
摘要: 目的了解我国儿童重症监护病房(PICU)感染病原菌分布及耐药情况。方法应用系统评价方法分析全国四
个地区 PICU 感染病原菌及耐药状况。结果共纳入菌株 1 740 株,其中革兰阴性杆菌 1 153 株(%),以克雷伯菌属及铜绿
假单胞菌多见,革兰阳性球菌 498 株(%),真菌 89 株(%)。革兰阴性杆菌对哌拉西林、头孢噻肟、头孢曲松和头孢他啶的
耐药率较高,而对阿米卡星、亚胺培南较敏感。革兰阳性球菌对青霉素耐药率近 100%,对万古霉素耐药率为 0。结论 PICU
感染病原菌以革兰阴性杆菌为主,细菌对常用抗生素耐药率较高。[ 临床儿科杂志,2013,31(6):543-546]
关键词: 重症监护病房; 病原菌; 耐药; 系统评价; 儿童
中图分类号: R714 文献标志码: A 文章编号: 1000-3606 (2013) 06-0543-04
System analysis of distribution and antibacterial resistance of pathogens in pediatric intensive care unit DI Chunyang,
WANG Aihua, WANG Fan (Department of Children's Severe Diseases, The Second Hospital of Lanzhou University, Lanzhou
730000, Gansu, China)
Abstract: Objectives To investigate the bacterial distribution and drug resistance of pathogens in pediatric intensive
care unit (PICU) in China. Methods Analysis was conducted in bacterial distribution and drug resistance of pathogens in PICU
in four regions of China using method of system analysis. Results A total of 1 740 pathogenic strains were included, with 1 153
Gram-negative bacilli, 498 Gram-positive i and 89 fungi accounting for %, % and %, respectively. The -
mon pathogens were Klebsiella pneumoniae