肠球菌:新出现的耐药细菌在医院获得性感染在吉隆坡医院,马来西亚

R. Ibrahim, M. Mohamad, Mahmudur Rahman
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引用次数: 2

摘要

肠球菌是医院获得性感染中最常见的病原体。有的对万古霉素耐药,有的对万古霉素敏感。本研究旨在从临床病例中鉴定肠球菌,并阐明其临床特征和耐药特征。采用纸片扩散法和e -试验对鉴定出的细菌进行药敏试验。对氨苄西林、庆大霉素、万古霉素、替可普宁和利奈唑胺的耐药特性进行了评价。关于临床特征,根据马来西亚吉隆坡(HKL)医院提供的临床信息,确定了244例肠球菌感染患者。患者中21%有尿路感染史,17.2%有终末期肾病,12.2%有败血症,8.4%有恶性肿瘤,12.2%有头部损伤和神经系统问题,4.2%有糖尿病等临床表现。万古霉素耐药肠球菌感染患者的临床特征为:终末期肾功能衰竭3/6(50%),其他患者合并糖尿病、肺间质性疾病和肾病综合征。肠球菌感染患者以肾泌尿科(39%)和内科病房(包括ICU, 23%)的发生率较高,提示临床医生应重视肠球菌感染的出现,并采取相应的感染控制措施,以抑制患病率的进一步上升。
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Enterococci: Emerging Drug Resistant Bacteria In Hospital Acquired Infections At Hospital Kuala Lumpur, Malaysia
Enterococci are the most common pathogens in hospital acquired infections. Some of them are resistant to Vancomycin(VRE) and some are susceptible to Vancomycin (VSE). The present study was carried out to identify enterococci from clinical cases and to illustrate their clinical features and drug resistance characteristics. Antibiotics susceptibility of the identified bacteria was determined by disk diffusion method and E-test. Drug resistance properties were evaluated against ampicillin, gentamicin, vancomycin, teicoplanin and linezolid. Relating to clinical features, 244 cases of enterococci infected patients were identified at hospital Kuala Lumpur (HKL) Malaysia based on clinical information from the hospital. Of the patients 21% had history of urinary tract infections, 17.2% end stage renal disease, 12.2% sepsis, 8.4% malignancy, 12.2% had head injury and neurological problems, 4.2% diabetes mellitus and other clinical manifestations .In case of Vancomycin resistant enterococci infection, the clinical features of the patients were: end stage renal failure 3/6 (50%) and others with diabetes mellitus, interstitial lung disease and nephrotic syndrome. The patients of the enterococci infections were more prevalent in nephrology-urology unit (39%) and medical wards (including ICU, 23%) The findings would serve as an alert to the clinicians of the emergence of infections by enterococci and encourage implementation of appropriate infection control measures in order to curb further rise in prevalence.
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