-PAGE10-2013年第三季度醫(yī)院內(nèi)微生物檢驗(yàn)監(jiān)測報(bào)告2013年7-9月院內(nèi)各種標(biāo)本培養(yǎng)共3459例，其中有753例標(biāo)本有細(xì)菌生長，陽性率占21.8%；753例標(biāo)本培養(yǎng)得61種不同的細(xì)菌，革蘭氏陰性菌有34種，革蘭氏陽性菌有24種，真菌3種。7-9月血培養(yǎng)標(biāo)本共有1170份，106份有細(xì)菌生長，陽性率為9.1%；標(biāo)本培養(yǎng)中革蘭氏陰性菌前5位為：大腸埃希菌、銅綠假單胞菌、肺炎克雷伯菌、鮑曼不動(dòng)桿菌、陰溝腸桿菌；革蘭氏陽性菌前4位為：金黃色葡萄球菌、表皮葡萄球菌、屎腸球菌、糞腸球菌。革蘭氏陰性桿菌（前5位）檢測情況：細(xì)菌名稱例數(shù)所占比率%大腸埃希菌17322.9銅綠假單胞菌11415.1肺炎克雷伯菌668.8鮑曼不動(dòng)桿菌638.3陰溝腸桿菌212.8革蘭氏陽性球菌（前4位）檢測情況：細(xì)菌名稱例數(shù)所占比率%金黃色葡萄球菌516.8糞腸球菌385.0表皮葡萄球菌233.1屎腸球菌152.0173株大腸埃希菌對(duì)18種抗菌藥物的藥敏結(jié)果：抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西39%0.58%15.03%氨芐西林/舒巴23%20.81%21.97%阿米卡星173501682.89%0%97.11%氨曲38%0%41.62%環(huán)丙沙36%1.16%29.48%頭孢替坦173301701.73%0%98.27%頭孢曲38%1.16%40.46%頭孢唑27%1.16%37.57%ESBL檢測1730000%0%0%厄他培南173001730%0%100%頭孢吡8%0.58%41.62%呋喃妥因1737201464.05%11.56%84.39%慶大霉62%0%58.38%亞胺培南173011720%0.58%99.42%左氧氟沙47%2.89%30.64%復(fù)方新諾明1739907457.23%0%42.77%頭孢他8%1.16%41.04%妥布霉56%32.95%55.49%哌拉西林/他唑巴坦173321681.73%1.16%97.11%表一173株大腸埃希菌對(duì)18種抗菌藥物的敏感率（%）114株銅綠假單胞菌對(duì)16種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林11411400100%0%0%氨芐西林/舒巴坦11411400100%0%0%阿米卡星114021120%1.75%98.25%環(huán)丙沙星11437106732.46%8.77%58.77%頭孢替坦1141130199.12%0%0.88%頭孢曲松1141130199.12%0%0.88%頭孢唑啉1141130199.12%0%0.88%頭孢吡肟11432127028.07%10.53%61.4%呋喃妥因1141131099.12%0.88%0%慶大霉素1141131000.88%11.4%87.72%亞胺培南1144956042.98%4.39%52.63%左氧氟沙星11431117227.19%9.65%63.16%復(fù)方新諾明1141130199.12%0%0.88%頭孢他啶11439126334.21%10.53%55.26%妥布霉素114111120.88%0.88%98.25%哌拉西林/他唑巴坦1132708623.89%0%76.11% 表二114株銅綠假單胞菌對(duì)16種抗菌藥物的敏感率（%）66株肺炎克雷伯菌對(duì)18種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林666600100%0%0%氨芐西林/舒巴坦662943343.94%6.06%50%阿米卡星6650617.58%0%92.42%氨曲南662613939.39%1.52%59.09%環(huán)丙沙星661184716.67%12.12%71.21%頭孢替坦6632614.55%3.03%92.42%頭孢曲松662604039.39%0%60.61%頭孢唑啉663103546.97%0%53.03%ESBL檢測660000%0%0%厄他培南6600660%0%100%頭孢吡肟662504137.88%0%62.12%呋喃妥因662832642.42%48.48%9.09%慶大霉素661704925.76%0%74.24%亞胺培南6600660%0%100%左氧氟沙星661105516.67%0%83.33%復(fù)方新諾明662004630.3%0%69.7%頭孢他啶662633739.39%4.55%56.06%妥布霉素6612114318.18%16.67%65.15%哌拉西林/他唑巴坦6634594.55%6.06%89.39%表三66株肺炎克雷伯菌對(duì)18種抗菌藥物的敏感率（%）63株鮑曼不動(dòng)桿菌對(duì)16種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林636300100%0%0%氨芐西林/舒巴坦632243734.92%6.35%58.73%氨曲南63529282.54%14.29%3.17%環(huán)丙沙星633203150.79%0%49.21%頭孢替坦636300100%0%0%頭孢曲松633226550.79%41.27%7.94%頭孢唑啉636300100%0%0%頭孢吡肟632743242.86%6.35%50.79%呋喃妥因636300100%0%0%慶大霉素632813444.44%1.59%53.97%亞胺培南632323836.51%3.17%60.32%左氧氟沙星632193333.33%14.29%52.38%復(fù)方新諾明633402953.97%0%46.03%頭孢他啶633082547.62%12.7%39.68%妥布霉素632803544.44%0%55.56%哌拉西林/他唑巴坦632563239.68%9.52%50.79%表四63株鮑曼不動(dòng)桿菌對(duì)16種抗菌藥物的敏感率（%）21株陰溝腸桿菌對(duì)17種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林2100210%0%100%氨芐西林/舒巴坦2184938.1%19.05%42.86%阿米卡星2100210%0%100%氨曲南212100100%0%0%環(huán)丙沙星21120957.14%0%42.86%頭孢替坦212100100%0%0%頭孢曲松2110204.76%0%95.24%頭孢唑啉2110204.76%0%95.24%厄他培南2101740%80.95%19.05%頭孢吡肟2110204.76%0%95.24%呋喃妥因2100210%0%100%慶大霉素2100210%0%100%左氧氟沙星21301814.29%0%85.71%復(fù)方新諾明211011047.62%4.76%47.62%頭孢他啶2120199.52%0%90.48%妥布霉素2118124.76%38.1%57.14%哌拉西林/他唑巴坦2100210%0%100%表五21株陰溝腸桿菌對(duì)17種抗菌藥物的敏感率（%）51株金黃色葡萄球菌對(duì)18種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比克林霉素513701472.55%0%27.45%環(huán)丙沙星512922056.86%3.92%39.22%紅霉素513801374.51%0%25.49%呋喃妥因5101500%1.96%98.04%慶大霉素512302845.1%0%54.9%誘導(dǎo)型克林霉素耐藥510000%0%0%左氧氟沙星512902256.86%0%43.14%利奈唑胺5100510%0%100%莫西沙星512362245.1%11.76%43.14%苯唑西林513201962.75%0%37.25%頭孢西丁篩選510000%0%0%青霉素51480394.12%0%5.88%喹努普汀/達(dá)福普汀5100510%0%100%利福平5110501.96%0%98.04%復(fù)方新諾明51604511.76%0%88.24%四環(huán)素513002158.82%0%41.18%替加環(huán)素5100510%0%100%萬古霉素5110501.96%0%98.04%表六51株金黃色葡萄球菌對(duì)18種抗菌藥物的敏感率（%）38株糞腸球菌對(duì)15種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林382301560.53%0%39.47%克林霉素383800100%0%0%環(huán)丙沙星382401463.16%0%36.84%紅霉素38317081.58%18.42%0%呋喃妥因3800380%0%100%高水平慶大霉素協(xié)同382401463.16%0%36.84%高水平鏈霉素協(xié)同381901950%0%50%左氧氟沙星382401463.16%0%36.84%利奈唑胺3822345.26%5.26%89.47%莫西沙星382401463.16%0%36.84%青霉素382301560.53%0%39.47%喹努普汀/達(dá)福普汀383800100%0%0%四環(huán)素38331486.84%2.63%10.53%替加環(huán)素3800380%0%100%萬古霉素3800380%0%100%表七38株糞腸球菌對(duì)15種抗菌藥物的敏感率（%）15株屎腸球菌對(duì)15種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比氨芐西林15140193.33%0%6.67%克林霉素151500100%0%0%環(huán)丙沙星15130286.67%0%13.33%紅霉素15122180%13.33%6.67%呋喃妥因1595160%33.33%6.67%高水平慶大霉素協(xié)同1560940%0%60%高水平鏈霉素協(xié)同1590660%0%40%左氧氟沙星15130286.67%0%13.33%利奈唑胺1501140%6.67%93.33%莫西沙星15130286.67%0%13.33%青霉素15140193.33%0%6.67%喹努普汀/達(dá)福普汀1500150%0%100%四環(huán)素15501033.33%0%66.67%替加環(huán)素1500150%0%100%萬古霉素1500150%0%100%表八15株屎腸球菌對(duì)15種抗菌藥物的敏感率（%）23株表皮葡萄球菌對(duì)18種抗菌藥物的藥敏結(jié)果抗生素名稱總量耐藥數(shù)量中介數(shù)量敏感數(shù)量耐藥百分比中介百分比敏感百分比克林霉素23170673.91%0%26.09%環(huán)丙沙星23751130.43%21.74%47.83%紅霉素23220195.65%0%4.35%呋喃妥因2300230%0%100%慶大霉素2320218.7%0%91.3%誘導(dǎo)型克林霉素耐藥230000%0%0%左氧氟沙星23012110%52.17%47.83%利奈唑胺2300220%0%95.65%莫西沙星2300230%0%100%苯唑西林22180481.82%0%18.18%頭孢西丁篩選230000%0%0%青霉素23220195.65%0%4.35%喹努普汀/達(dá)福普汀221