Analysis on pathogens distribution and antibacterial susceptibility of bacteria isolated in neurosurgery / 国际检验医学杂志

ABSTRACT

Objective To analyse pathogens distribution and antibacterial susceptibility of bacteria isolated from clinical speci‐mens in neurosurgery ,in order to provide laboratory basis for rational use of antibacterial agents .Methods Isolation and culturing of bacteria were carried out in various clinical samples collected in neurosurgery from January 2012 to September 2012 in the First Affiliated Hospital of Xi′an Jiaotong University ,all strains were identified by using automatic microbial analyzer ,and the sensitivi‐ties to antibacterial agents were verified by using instrument method and K‐B method .WHONET5 .6 software was used for data a‐nalysis .Results A total of 1 319 strains of non‐repeating pathogenic bacteria were isolated ,including 482 strains (36 .6% ) of gram‐positive bacteria ,797 strains (60 .4% ) of gram‐negative bacteria ,and 40 strains (3 .0% ) of fungi .Most of pathogenic bacteria were isolated from sputum ,cerebrospinal fluid ,urine and blood specimens ,and the most common isolates were Staphylococcus aureus , Acinetobacter baumannii ,Klebsiella pneumoniae ,Pseudomonas aeruginosa and Escherichia coli .Isolated gram‐positive bacteria and gram‐negative bacteria were resistant to antibacterial agents in different degree .The sensitivity rate was 100 .0% only in linezolid and vancomycin against Staphylococcus aureus .The resistant rates of carbapenems against Acinetobacter baumannii were higher than 80 .0% ,and carbapenems‐resistant Klebsiella pneumoniae strains had also appeared .Carbapenems‐resistant Escherichia coli strains had not yet been found .The sensitive rate of Piperacillin‐Tazobactam against Pseudomonas aeruginosa was above 90 .0% . Conclusion Gram‐negative bacteria is the predominant pathogen infecting patients in neurosurgery ,w hile Staphylococcus aureus are the most common isolates .For the increase of multiple drug‐resistant and pan‐drug‐resistant bacteria ,clinical rational use of antibac‐terial agents for anti‐infection treatment may be very important .