Enterobacter cloacae resistance: Monitoring and Analysis
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:阴沟肠杆菌耐药性的检测与分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xiaomin XU
			        		
			        		;
		        		
		        		
		        		
			        		Lin CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Weihe ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Zhenyue YE
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Enterobacter cloacae;
			        		
			        		
			        		
				        		Resistance;
			        		
			        		
			        		
				        		Extended spectrum ?-lactamases;
			        		
			        		
			        		
				        		AmpC enzyme
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Nosocomiology
	            		
	            		 2006;0(03):-
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	OBJECTIVE To monitor the Enterobacter cloacae resistance in our hospital patients.METHODS Disk susceptibility tests were performed for detection of E.cloacae resistance to 10 antibiotics,Detection of(extended)-spectrum ?-lactamases and AmpC ?-lactamase was conducted by three-dimensional extract test.RESULTS Seventy four strains of E.cloacae were isolated from our hospital patients,its had high resistant rate to 9 antibiotics(from(40.5%) to 91.8%),Among 74 strains of E.cloacae,10 isolates(13.5%) were considered as AmpC enzyme producing,31 strains(41.89%) were ESBLs-producing,6 strains(8.1%) were producing both of them.Total detection of AmpC(?-lactamase),or the production of ESBLs,or both of them were 47 strains(63.5%).Only imipenem was effective for all E.cloacae.CONCLUSIONS For the serious infection induced by E.cloacae producing AmpC ?-lactamase or(ESBLs),imipenem is first choice of treatment.