1.Genotyping of Acinetobacter calcoaceticus-Acinetobacter baumannii complex and analysis of antibiotics resistance
Min LI ; Wenwen PI ; Yi WANG ; Weiping LU
International Journal of Laboratory Medicine 2015;(19):2803-2805
Objective To identify strains of Acinetobacter(A.)calcoaceticus-A.baumannii complex accurately,and investigate the species distribution of Acinetobacter calcoaceticus-A.baurnannii(ACB)complex isolated in Daping Hospital.Analysis the anti-biotics resistance of ACB complex.Methods A total of 95 clinica1 isolates of ACB complex were collected from Daping Hospital from February to April 2014,identify by sequence analysis of 1 6S rRNA gene spacer region.Use VITEK-2compact automatic iden-tification of bacteria by susceptibility meter to detect the precise identification of all ACB complex group of drug sensitivity.Results Among all the 95 strains of ACB complex identification results were A.baumanni (81,85.26%),A.pittii(10,10.53%),A.noso-comialis (4,4.21%).A.baumannii to third generation cephalosporins,aminoglycosides and carbapenem antibiotic resistance in seri-ous condition,the sensitive rate was only about 20.00%.But A.pittii and A.nosocomialis had a high sensitivity rate to commonly used antibiotics.Conclusion VITEK-2 Compact automatic identification of bacteria susceptibility meter has limitations in identifica-tion of Acinetobacter,with analysis of 1 6S rRNA gene sequencing,the ACB complex could be accurately identified.There is signifi-cant difference in the composite group-resistant characteristics of each species,clinical infection is also various.
2.A qualitative study on hypertension patients' acceptability with the remote management model
Wenwen MENG ; Jie SONG ; Hong'an KU ; Hongying PI
Chinese Journal of Modern Nursing 2017;23(32):4076-4079
Objective To explore hypertension patients' acceptability with the remote management model, and to provide a basis for clinical application in the future.Methods Totally 10 patients who received remote management between June and September 2016 were selected, and received unstructured interviews based on the technology acceptance model (TAM) with the phenomenological method in qualitative studies. And the data thus collected were analyzed and organized with the Colaizzi Seven-Step Method to find main themes. Results Totally 3 themes were found according to TAM, including perceived ease of use (the management platform was easy for use according to patients), perceived usefulness (patients better understood their own blood pressure, changed their habits of blood pressure monitoring and unhealthy lifestyle, improved treatment efficiency, and saved time costs), and intention of use (the participation of medical and nursing staffs could directly affect patients' intention of use, and patients had different opinions on expenses, believing that it was more meaningful to conduct remote management in short time and in particular cases).Conclusions Patients show a high acceptability with the remote management model, and in clinical application, further research is needed to tackle real difficulties and ensure the sustainable development of the model.