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題 名 | Antimicrobial Susceptibility of Common Bacterial Pathogens Isolated from a New Regional Hospital in Southern Taiwan=南臺灣一所新區域醫院常見菌株之抗藥性分布 |
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作 者 | 陳弘明; 鐘佩雯; 于義正; 戴琬玲; 高韋齡; 簡雅莉; 邱政洵; | 書刊名 | 長庚醫學 |
卷 期 | 26:12 2003.12[民92.12] |
頁 次 | 頁889-896 |
分類號 | 418.281 |
關鍵詞 | 抗藥性; 細菌菌種; 區域醫院; Antimicrobial resistance; Bacterial pathogens; Regional hospital; |
語 文 | 英文(English) |
中文摘要 | 背景:抗生素的研發及使用,使抗藥性菌株在臺灣已成重要課題,然而各地區之抗藥性又有其獨特性。 方法:為了探討臺臺灣細菌菌種及抗藥性分布之特色,針對嘉義長庚醫院自91年1月至同年12月所刀離出之菌株採取回溯或的研究。 結果:最常見的格蘭氏陽或菌是Staphylococcus aureus,E. coli和Klebsiella pneumoniae則是最常見之兩種格蘭氏陰性菌。最常見之葡萄不發酵格蘭氏陰性菌是P. aeruginosa,其次則是A. baumannii。對oxacillin抗藥性之S. aureus雖佔有58%,但對vancomycin和teicoplanin全無抗藥性;至於S. pneumoniae對penicillin非感受性之比例為52%,但對erythromycin抗藥性比例則高達87%。多重抗藥性之P. ueruginosa, A hydrophila和格蘭氏腸道陰性菌在此很常見之外,多重抗藥性之A. baumannii亦不少見,所幸對imipenem抗藥性仍很低。至於non-typhoid Salmonella的抗藥菌株亦很常見,特別是以S. choleraesuis和serogroup B最多。 結論:嘉義長庚醫院所分離出之細菌菌種及抗藥性分布與臺灣其他醫院的結果大致相似,可見即使是在新成立醫院仍可發現很高比率的抗藥或菌株,因此強調抗生素的適當使用是絕對不容忽視的,未來仍然需要繼續監測這些菌種及抗藥性的變遷。 |
英文摘要 | Background: Antimicrobial resistance has become a major health problem in Taiwan. While some trend in antimicrobial resistance are universal, others appear to be unique for specific regions. Methods: To determine the distribution and antimicrobial drug resistance of bacterial pathogens in a new hospital in southern Taiwan, surveillance data on major bacterial pathogens isolated form Chang Gung Memorial Hospital at Chin-Yi from January 2002 through December 2002 were retrospectively analyzed. Results: The mos common gram-positive isolate was Staphylococcus aureus. Escherichia coli and Klebsiella pneumoniae were the two most common gram negative isolates. Pseudomonas aeruginosa ranked the first among grampnegative, glucose non-fermenting isolates, followed in the order of frequency by Acinetobacter baumannii. Oxacillin resistance rate of S. aureus was 58%, while vancomycin and teicoplanin remained effective against all of the isolates. The penicillin non-susceptibility rate of Streptococcus pneumoniae was 52%, and it is notable that the rate of resistance to erythromycin was 87%. Resistance to various antimicrobial agents for P. aeruginosa, Aeromonas hydrophila, and gram-negative enteric bacilli was very common in our study. Infection caused by multidrug-resistant A. baumannii was not uncommon in this hospital but fortunately, impipenem resistant A. baumannii was rarely encountered. Antimicrobial resistance was common in nontyphoid Salmonella, S. choleraesuis and serogroup B isolates in particular. Conclusion: The high rates of antimicrobial resistance among these major bacterial pathogens in this new hospital are impressive and alarming. Judicious use of antimicrobial agents can never be overmphasized. Continued surveillance of the changes of resistance patterns over time is necessary. |
本系統中英文摘要資訊取自各篇刊載內容。