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Objective To analyze the clinical distribution ,drug resistance and genotyping of bloodstream infection Staphylococ-cus aureus in our hospital .Methods Bacteria identification and drug sensitivity test were performed in 102 strains of Staphylococ-cus aureus isolated by automatic bacteria identification system in our hospital during January 2010 to January 2017 ,and the geno-types were determined by polymerase chain reaction (PCR) .Results Staphylococcus aureus bloodstream infection was the most common in people aged 70- <80 years old (29 .41% ) ,followed by the age of 50- <60 years old (15 .69% ) .The disease was the most common in the intensive care unit (ICU) (29 .41% ) ,followed by hemodialysis room (21 .57% ) .The drug resistance rate to penicillin was the highest (94 .12% ) ,followed by clindamycin (66 .67% ) ,and it was sensitive to vancomycin ,tigecycline ,teicoplanin and linezolid (100 .00% ) .The drug resistance rates of Methicillin-resistant Staphylococcus aureus (MRSA) to penicillin ,clindamy-cin ,erythromycin ,gentamicin ,levofloxacin ,tetracycline ,rifampicin ,ciprofloxacin and ampicillin/sulbactam were significantly higher than those of Methicillin-sensitive Staphylococcus aureus (MSSA) (P<0 .05) .The erm gene carrying rate was 100 .00% .Among MRSA ,there were 12 strains carrying ermA gene and 28 strains carrying ermA+ermC gene .Among MSSA ,there were 38 strains carrying ermB gene and 24 strains carrying ermC gene .The ermC gene accounted for 77 .27% in induced drug-resistant strains .Con-clusion Staphylococcus aureus bloodstream infection is more common in the elderly ,especially in the advanced age ,and it is more common in ICU .The detection rate of MRSA is relatively higher ,and the erm gene carrying rate of Staphylococcus aureus is high . ermA gene is common in MRSA while ermB gene is common in MSSA .MRSA is resistant to several antibiotics .It is recommended to choose vancomycin and tigecycline for antibiotic treatment .
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Objective To analyze the clinical distribution ,drug resistance and genotyping of bloodstream infection Staphylococ-cus aureus in our hospital .Methods Bacteria identification and drug sensitivity test were performed in 102 strains of Staphylococ-cus aureus isolated by automatic bacteria identification system in our hospital during January 2010 to January 2017 ,and the geno-types were determined by polymerase chain reaction (PCR) .Results Staphylococcus aureus bloodstream infection was the most common in people aged 70- <80 years old (29 .41% ) ,followed by the age of 50- <60 years old (15 .69% ) .The disease was the most common in the intensive care unit (ICU) (29 .41% ) ,followed by hemodialysis room (21 .57% ) .The drug resistance rate to penicillin was the highest (94 .12% ) ,followed by clindamycin (66 .67% ) ,and it was sensitive to vancomycin ,tigecycline ,teicoplanin and linezolid (100 .00% ) .The drug resistance rates of Methicillin-resistant Staphylococcus aureus (MRSA) to penicillin ,clindamy-cin ,erythromycin ,gentamicin ,levofloxacin ,tetracycline ,rifampicin ,ciprofloxacin and ampicillin/sulbactam were significantly higher than those of Methicillin-sensitive Staphylococcus aureus (MSSA) (P<0 .05) .The erm gene carrying rate was 100 .00% .Among MRSA ,there were 12 strains carrying ermA gene and 28 strains carrying ermA+ermC gene .Among MSSA ,there were 38 strains carrying ermB gene and 24 strains carrying ermC gene .The ermC gene accounted for 77 .27% in induced drug-resistant strains .Con-clusion Staphylococcus aureus bloodstream infection is more common in the elderly ,especially in the advanced age ,and it is more common in ICU .The detection rate of MRSA is relatively higher ,and the erm gene carrying rate of Staphylococcus aureus is high . ermA gene is common in MRSA while ermB gene is common in MSSA .MRSA is resistant to several antibiotics .It is recommended to choose vancomycin and tigecycline for antibiotic treatment .
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Objective To explore the effect of WeChat education and telephone follow-up on reducing depression incidence of primipara in stegmonth.Methods One hundred and six primiparas who have got labored were numbered by the order of discharge from hospital and ramdomized in equal number into observation group(n=53)and control group(n=53)by random digit table. Both groups were re-diagnosed on time and the observation group also received WeChat education and telephone follow-up in order to compare the depression incidence of primiparas in both groups.Result The depression incidence of the observation group was lower than that of the control group and before intervention with statistical difference(P<0.05).Conclusion A communication platform is established between nurses and primiparas by WeChat education and telephone follow-up with subsequent, dynamic and individualized management mode, which has improved self-nursing ability of primipara and reduced the depression incidence in stegmonth.
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Objective: To explore whether the Cognitive-Behavior Training is feasible and effective in promoting the class attention behavior of a primary student. Methods: The subject was received 4 times of Cognitive-Behavior Training. Her class inattention behaviors were compared before and after the training. Results: (1) During training period, the frequencies of class inattention behavior reduced significantly from 8 times in one session to less than 2 times in average; (2) the class inattention behavior during follow up was a little more frequent than that during training, but not statistically significant.Conclusion: The Cognitive-Behavior Training is feasible and effective in promoting the class attention behavior of the case; the self- instructional training based on behavioral corrective technology may have longer effect than the behavioral technology.