Clinical distribution and drug resistance of Klebsiella pneumoniae strains isolated from hospitalized patients between 2018 to 2022
10.11816/cn.ni.2025-242001
- VernacularTitle:2018-2022年某院肺炎克雷伯菌临床分离株分布及耐药性变化
- Author:
Xinyue LUO
1
;
Zhongdan ZHANG
;
Haitao WANG
;
Peigeng GU
;
Yi LIU
;
Shaofu DU
;
Binghua ZHU
Author Information
1. 南方医科大学公共卫生学院,广东 广州 510515;中国人民解放军第三○五医院疾控科,北京 100017
- Publication Type:Journal Article
- Keywords:
Klebsiella pneumoniae;
Type of specimens;
Clinical distribution;
Antibiotic;
Drug resistance
- From:
Chinese Journal of Nosocomiology
2025;35(9):1396-1400
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To understand the epidemiological characteristics and change of drug resistance of Klebsiel-la pneumoniae strains from a hospital so as to adjust the use of antibiotics and control the transmission of hospital-associated infection caused by the K.pneumoniae.METHODS The K.pneumoniae strains were isolated from the patients who were hospitalized in The 305 Hospital of PLA from 2018 to 2022.The data of drug susceptibility tes-ting were exported by using WHONET 5.6,the clinical data and changing trend of drug resistance were retro-spectively analyzed with the use of SPSS 25.0 software.RESULTS Totally 9157 strains of bacteria were isolated from the patients who were hospitalized from 2018 to 2022,1502(16.40％)of which were K.pneumoniae,and the isolation rate showed a downward trend(x2=15.054,P＜0.001).Sputum(77.16％)was the major type of specimen;the strains were mainly isolated from intensive care unit(55.26％).The patients aged more than 79 years old were dominant,accounting for 65.58％.The result of drug susceptibility testing showed that there were significant differences in the drug resistance rates to the commonly used antibiotics from 2018 to 2022(P＜0.05).The drug resistance rates to aztreonam,ertapenem and tigecycline showed upward trends with the years(P＜0.05),while the drug resistance rates to the rest of drugs such as cefoperazone-sulbactam,ceftazidime and amika-cin showed downward trends(P＜0.05).CONCLUSIONS There is significant difference in the clinical distribution of the K.pneumoniae strains in recent 5 years.The key populations and departments should be attached great im-portance to.The drug resistance rates of the K.pneumoniae strains to many types of antibiotics show downward trends,but the situation of drug resistance is still serious.It is necessary to continue to implement the prevention and control policies for drug resistance and reasonably use antibiotics based on the result of drug susceptibility testing.
