Clinical Distribution and Drug Resistance of Non-fermentative Bacilli in Surgery
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:外科非发酵菌感染的临床分布与耐药性分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Bing TANG
			        		
			        		;
		        		
		        		
		        		
			        		Yingpeng CUI
			        		
			        		;
		        		
		        		
		        		
			        		Bin ZHU
			        		
			        		;
		        		
		        		
		        		
			        		Jiayuan ZHU
			        		
			        		;
		        		
		        		
		        		
			        		Yang LIU
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Non-fermentative bacilli;
			        		
			        		
			        		
				        		Clinical distribution;
			        		
			        		
			        		
				        		Drug resistance
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Nosocomiology
	            		
	            		 2006;0(09):-
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	OBJECTIVE To investigate the clinical distribution and drug resistance of non-fermentative bacilli isolated from department of surgery so as to guide the rational use of antibiotics.METHODS VITEK-60 AMS system and Kirby-Bauer method were used to identify the pathogenic bacilli and examine the antibiotic resistance.RESULTS A total of 463 strains of nonfermentative bacteria were isolated from Jan 2002 to Dec 2004,the most common pathogen was Pseudomonas aeruginosa(55.07%),the next were Acinetobacter baumannii(20.52%) and Stenotrophomonas maltophilia(11.88%).The samples were mainly sputum(31.97%),drainage(13.39%),and wound secretion(12.31%).Isolation rate from SICU,departments of organ transplantation and burn were 28.08%,17.28% and 12.10%,respectively.P.aeruginosa,A.baumannii and S.maltophilia had high and multi-drug resistance.CONCLUSIONS Infections of respiratory tract and wound caused by non-fermentative bacilli are common in surgical department,and drug resistance is serious.The drugs should be chosen according to the results of the antimicrobial susceptibility tests.