Analysis of Characteristics of Clinical Distribution and Antibiotic Resistance of <i>Acinetobacter baumannii</i> in A Women and Children's Hospital_West China Medical Journal

Authors：

 LIJuan ¹ , MULi-yuan ² ,  DENGJian-jun ¹ , LIPing ¹

1. Nosocomial Infection Management, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Clinical Laboratory;West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DENGJian-jun, Email: 719969126@qq.com

Keywords：

Acinetobacter baumannii; Multidrug resistant; Resistance

DOI：

10.7507/1002-0179.20150070

Video：

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Objective To investigate the distribution and drug resistance of Acinetobacter baumannii (AB) in a women and children's hospital. Methods Strains of AB isolated from clinical specimens between January 2011 and December 2013 were identified with Vitek2-compact microbiology analyzer; antimicrobial susceptibility test was performed by Kirby-Bauer disk diffusion method. The resistant rate, intermediate rate and susceptibility rate of drugs were calculated according to the criteria in guidelines of Clinical and Laboratory Standards Institute. WHONET 5.6 software was used to analyze the data. Results A total of 167 strains of AB were isolated and tested. Neonatal ward had the highest detection proportion. Most strains of AB were isolated from sputum. The drug resistance rate of AB to piperacillin tazobactam, cefepime and carbapenem was<25%. Conclusion The drug sensitivity rate of AB to piperacillin/tazobactam, cefepime and carbapenems was high, but drug resistence to antimicrobial drugs increased continuously in three years. Medical institutions should strengthen the monitoring of AB resistance, implement rational use of antibiotics, and carry out hand hygiene education, to reduce the generation and dissemination of AB resistant strains.

Citation： LIJuan, MULi-yuan, DENGJian-jun, LIPing. Analysis of Characteristics of Clinical Distribution and Antibiotic Resistance of Acinetobacter baumannii in A Women and Children's Hospital. West China Medical Journal, 2015, 30(2): 227-229. doi: 10.7507/1002-0179.20150070 Copy

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1. 陈佰义, 何礼贤, 胡必杰, 等. 中国鲍曼不动杆菌感染诊治与防控专家共识[J]. 中国医药科学, 2012, 92(8):3-8.
2. Sienia WK, Kaczka K, Gagis L, et al. Acinetobacter baumannii nosocomial infection[J]. Pol Przegl Chir, 2013, 85(9):483-490.
3. 蔡小芳, 孙继民, 鲍连生, 等. 儿童重症监护病房鲍氏不动杆菌临床分布及耐药性变化趋势分析[J]. 中华医院感染学杂志, 2011, 21(11):2348-2350.
4. 喻森海, 来汉江, 杨莉俊. 鲍氏不动杆菌的耐药性分析[J]. 中华医院感染学杂志, 2013, 23(12):3004-3005, 3008.
5. 庹涛, 鲍连生, 杨劳荣, 等. 2006-2008年武汉地区儿童分离鲍曼不动杆菌的耐药分析[J]. 中国当代儿科杂志, 2010, 12(8):613-615.
6. 饶友义, 余江平. 1067株鲍曼不动杆菌耐药性分析[J]. 四川医学, 2012, 33(12):2213-2214.
7. 习慧明, 徐英春, 朱德妹, 等. 2010年中国CHINET鲍曼不动杆菌耐药性监测[J]. 中国感染与化疗杂志, 2012, 12(2):98-104.
8. 何周康, 赵昕. 儿童患者鲍曼不动杆菌临床分布及耐药性分析[J]. 中南药学, 2011, 9(12):930-932.
9. 张辉, 张小江, 徐英春, 等. 2012年中国CHINET不动杆菌属细菌耐药性监测[J]. 中国感染与化疗杂志, 2014, 14(5):392-397.
10. 陆丹倩, 顾向明, 曾琦茗, 等. 346株鲍曼不动杆菌临床分布及耐药率分析[J]. 中国微生态学杂志, 2014, 26(11):1288-1290.
11. 张海琼, 俞小珍. 儿童感染鲍氏不动杆菌的耐药性分析[J]. 中华医院感染学杂志, 2012, 22(19):4360-4361, 4384.
12. 张辉, 张小江, 徐英春, 等. 2011年中国CHINET不动杆菌属细菌耐药性监测[J]. 中国感染与化疗杂志, 2013, 13(5):342-348.
13. 汪复, 朱德妹, 胡付品, 等. 2012年中国CHINET细菌耐药性监测[J]. 中国感染与化疗杂志, 2013, 13(5):321-330.
14. 张肖, 蔡辉, 顾兵, 等. 2012年江苏盛泽医院检出主要革兰阴性杆菌的分布及耐药性监测[J]. 南京医科大学学报:自然科学版, 2014, 34(1):72-74.
15. 俞善春, 葛冰磊. 162株鲍曼不动杆菌的临床分布及耐药性分析[J]. 国际检验医学杂志, 2014, 23(23):3224-3225.
16. 彭蓉, 章瑀颖, 龙君, 等. 鲍曼不动杆菌的感染调查和耐药性分析[J]. 华西医学, 2012, 27(8):1218-1220.

West China Medical Journal

Analysis of Characteristics of Clinical Distribution and Antibiotic Resistance of Acinetobacter baumannii in A Women and Children's Hospital

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