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目的探讨我院ICU鲍曼不动杆菌所致医院感染现状;方法采用x~2检验的方法对我院ICU分离的鲍曼不动杆菌的药敏结果进行了回顾性分析;结果显示亚胺培南、阿米卡星、复方SMZ、头孢匹美、左氧氟沙星、庆大霉素、环丙沙星、头孢他碇耐药性在2003～2006年间有显著差异(P<0.05),且耐药性均有上升趋势。头孢唑啉、头孢曲松、氨曲南的耐药性无显著差异,其耐药率均在60%以上,且氨曲南和头孢唑啉的耐药率都在95%以上;结论近年来随着抗生素的广泛应用,多重耐药的鲍曼不动杆菌的比例在不断增加,要遏制抗生素的滥用,必须重视细菌培养和药敏试验,在日常医护操作过程中应做好消毒隔离,防止交叉感染,以减少多重耐药菌的产生和蔓延。
Objective To investigate the status of nosocomial infection caused by Acinetobacter baumannii in ICU in our hospital.Methods The drug susceptibility results of Acinetobacter baumannii isolated from ICU in our hospital were analyzed retrospectively by x ~ There was a significant difference (P <0.05) in the drug resistance of south, amikacin, SMZ, cefpirome, levofloxacin, gentamicin, ciprofloxacin and ceftazidime between 2003 and 2006 Both have an upward trend. Cefazolin, ceftriaxone and aztreonam had no significant differences in drug resistance, and the rates of resistance were above 60%, and the rates of resistance to aztreonam and cefazolin were above 95%. Conclusion In recent years With the wide application of antibiotics, the proportion of multidrug-resistant Acinetobacter baumannii is on the rise. To limit the abuse of antibiotics, we must attach importance to bacterial culture and drug susceptibility testing. During the daily health care operation, disinfection and isolation should be done to prevent Cross-infection, to reduce the generation and spread of multi-resistant bacteria.