Clinical distribution and antimicrobial resistance of Acinetobacter bau-mannii isolated from patients in consecutive three years
10.3969/j.issn.1671-9638.2015.01.010
- VernacularTitle:连续3年临床分离鲍曼不动杆菌临床分布及耐药性
- Author:
Yanfei ZHOU
;
Min DENG
- Publication Type:Journal Article
- Keywords:
Acinetobacter baumannii;
healthcare-associated infection;
drug resistance;
drug resistance,microbi-al;
multidrug-resistant bacteria;
antimicrobial agent
- From:
Chinese Journal of Infection Control
2015;(1):42-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical distribution and antimicrobial resistance of Acinetobacter baumannii (A.baumannii)from a hospital,so as to guide the rational use of antimicrobial agents and provide scientific basis for the prevention and control of healthcare-associated infection(HAI).Methods Distribution and antimicrobial susceptibility testing results of A.baumannii isolated from patients between January 2011 and December 2013 were analyzed retrospectively.Results A total of 339 A.baumannii isolates were isolated within three years,291 iso-lates (85.84%)were from sputum,followed by urine (n=29,8.55%),secretion(n=12,3.54%)and blood (n=3,0.89%).The main distribution departments were intensive care unit(ICU,n=149,43.95%),department of re-spiratory medicine (n=46,13.57%),department of pediatrics (n =32,9.44%)and oncology (n =22,6.49%). The resistant rate of A.baumannii to tobramycin and imipenem were 11 .11 %-49.47%,the resistant rates to the other antimicrobial agents were relatively high;antimicrobial resistant rate of 2012 and 2013 were obviously lower than 2011 .Conclusion A.baumannii from this hospital are mainly from sputum specimens,and mainly distribute in ICU and department of respiratory medicine,antimicrobial resistant rate is high,but there is a decreasing tenden-cy in recent years.