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《Chinese Journal of Antibiotics》 2008-10
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2006~2007 Mohnarin report:Bacterial distribution and resistance in central-southern China

Jian Cui,Ye Tao,Zhang Bei,Li Li,Wang Bin,Chen Zhong-ju,Tian Lei and Sun Zi-yong(Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030)  
Objective To investigate the resistance of clinical isolates from central-southern region of China to antimicrobial agents commonly used from 2006 to 2007.Methods Disk diffusion susceptibility test was used to determine the antimicrobial susceptibility.Data were analyzed by WHONET 5.4 software.Results A total of 11,366 clinical isolates were colleted,with Gram-positive cocci 31.7% and Gram-negative bacilli 66.7%.The top ten pathogens were E.coli,P.aeruginosa,coagulase-negative Staphylococcus,Klebs-iella spp.,S.aureus,Acinetobacter spp.,E.faecalis,S.maltophilia,E.cloacae,E.faecium.The prevalence of MRSA in groups of children(less than or equal to 14 years old) and adults(greater than or equal to 15 years old) were 14.8% and 51.2%,respectively.The prevalence of MRSA and MRSCN in non-ICU were 45.6% and 66.3%,with MRSA of ICU 77.6%.The susceptibility of isolates from groups of children to ampicillin,erythromycin and high-concentration gentamicin were more than that from groups of adults.ESBLs-producing E.coli and Klebsiella spp.from groups of children accounted for 71.8% and 64.7%,with that of groups of adults 52.4% and 40.6%.The prevalence of P.aeruginosa resistant to imipenem and meropenem from groups of children and adults were 11.0% and 13.2%,with pan-resistant isolates 5.5% and 2.1%.The prevalence of Acinetobacter spp.resistant to imipenem and meropenem from groups of children and adults were 1.6% and 15.3%,with pan-resistant isolates 1.6% and 0.7%.Conclusions Two-thirds of these clinical isolates wereGram-negative bacilli.The resistance of most antimicrobial agents was increasing in the clinical isolates from central-southern region of China.The resistance of ICU isolates were more serious than that of non-ICU and the prevalence of multidrug resistant strains were high in ICU.The prevalence of ESBL-producing and pan-resistant strains from groups of children were more than that from groups of adults.
【CateGory Index】: R446.5
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