北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第一临床医学院  > 临床药理研究所  > 期刊论文
学科主题: 药理学
题名:
2004-2005年度全国革兰阳性菌耐药监测(Mohnarin)
其他题名: National surveillance of Gram-positive bacteria resistance (Mohnarin) during 2004 and 2005
作者: 王进; 肖永红; 李耘
关键词: 革兰阳性球菌 ; 微生物敏感性试验 ; 抗菌性,细菌 ; 中国 ; Gram-positive cocci ; Microbial sensitivity tests ; Drug resistance,bacterial ; China
刊名: 中华传染病杂志
发表日期: 2008
DOI: 10.3321/j.issn:1000-6680.2008.05.004
卷: 26, 期:5, 页:268-274
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 监测2004-2005年度全国临床分离革兰阳性菌耐药状况.方法 选定全国17家医院作为成员单位,收集特定病房2004年10月1日至2005年9月30日分离的革兰阳性致病菌,用标准平皿二倍稀释法测定35种药物体外抗菌活性,计算最低抑菌浓度(MIC)50、MIC90,依据2004年美国国家临床实验标准委员会制订的标准计算细菌对抗菌药物的耐药率、中介率和敏感率.结果 共收集革兰阳性菌925株,包括葡萄球菌536株、肠球菌249株、链球菌137株和其他革兰阳性菌3株.苯唑西林耐药金黄色葡萄球菌与苯唑西林耐药表皮葡萄球菌的检出率分别为62.9%和82.9%;肺炎链球菌对青霉素的耐药率为10.5%,中介率为30.2%,不敏感率合计为40.7%;未发现对替考拉宁中介或耐药的肠球菌,5株肠球菌对万古霉素中介,分别为1株粪肠球菌、2株屎肠球菌、1株鹑鸡肠球菌和1株鸟肠球菌;术发现糖肽类不敏感葡萄球菌.结论 革兰阳性菌耐药呈明显上升趋势,青霉素不敏感肺炎链球菌、甲氧西林耐药的葡萄球菌比例高;细菌对大环内酯类耐药率高;未发现对万占霉素耐药的革兰阳性细菌. Objective To investigate the antimicrobial resistance of Gram-positive cocci isolated from 17 hospitals located at different areas in China. Methods All the Gram-positive cocci isolated from 17 hospitals from October 1 st, 2004 to September 30th, 2005 were collected for susceptibility test using standard agar dilution method issued by The Clinical and Laboratory Standards Institute (CLSI,2004). The minimal inhibitory concentration (MIC)50 and MIC90 were detected for antibacterial activity in vitro of 35 antimicrobial agents. The rates of resistance, intermediate and susceptiblity of bacteria to the agents were calculated. Results Totally, 925 Gram-positive cocci strains were collected during the period, which included Staphylococcus 536, Enterococcus 249, Streptococcus 137 and other Gram-positive cocci 3; the rates of oxacillin resistant Staphylococcus aureus (ORSA) and oxacillin resistant Staphylococcus epidermidis (ORSE) were 62.9% and 82.9%, respectively. The penicillinnonsusceptible Streptococcus pneumoniae (PNSP) was 40.7 % including 10.5 % resistant and 30.2intermediate. All strains of Enterococcus were susceptible to teicoplanin. No Enterococcus was resistant to vancomycin. Five strains of Enterococcus were found intermediate to vancomycin, which were 1 E.faecalis, 2 E. faecium, 1 E. gallinarum and 1 E. avium. No glycopeptides resistant Gram-positive coccus was detected. Conclusions The antimicrobial resistance of Gram-positive cocci is increasing with higher isolate rate of penicillin-resistant Streptococcus pneurnoniae (PRSP) and methicillinresistant Staphylococcus aureus (MRSA). All the investigated Gram-positive cocci are highly resistant to macrolides. No glycopeptide resistant strains are detected during the surveillance.
语种: 中文
原文出处: 查看原文
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/44528
Appears in Collections:北京大学第一临床医学院_临床药理研究所_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 北京大学第一医院临床药理研究所,100083

Recommended Citation:
王进,肖永红,李耘. 2004-2005年度全国革兰阳性菌耐药监测(Mohnarin)[J]. 中华传染病杂志,2008,26(5):268-274.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[王进]'s Articles
[肖永红]'s Articles
[李耘]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[王进]‘s Articles
[肖永红]‘s Articles
[李耘]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace