文献类型：期刊文章

作　　者：付盼[1] 王传清[1] 俞蕙[2] 许红梅[3] 景春梅[4] 邓继岿[5] 赵瑞珍[6] 华春珍[7] 陈英虎[7] 陈学军[8] 陈益平[9] 杨锦红[10] 张婷[11] 张泓[12] 邓慧玲[13] 曹三成[14] 曹清[15] 王星[16] 林爱伟[17] 王世富[18] 赫建华[19] 高巍[20]

FU Pan;WANG Chuan-qing;YU Hui;XU Hong-mei;JING Chun-mei;DENG Ji-kui;ZHAO Rui-zhen;HUA Chun-zhen;CHEN Ying-hu;CHEN Xue-jun;CHEN Yi-ping;YANG Jin-hong;ZHANG Ting;ZHANG Hong;DENG Hui-ling;CAO San-cheng;CAO Qing;WANG Xing;LIN Ai-wei;WANG Shi-fu;HE Jian-hua;GAO Wei(Microbiology department of Clinical Medical Laboratory,Children's Hospital of Fudan University,Shanghai,201102;Department of Medical Laboratory,The 2nd Affiliated Hospital and Yuying Children's Hosptial of Wenzhou Medical University,Wenzhou,325027;Digestive and Infectious Disease Department,Children's Hospital of Shanghai Jiaotong University,Shanghai,200040;Department of Medical Laboratory,Children's Hospital of Shanghai Jiaotong University,Shanghai,200040;Infectious Disease Department,Xi'an Children's Hospital,Xi'an,710043;Department of Medical Laboratory,Xi'an Children's Hospital,Xi'an,710043;Infectious Disease Department,Shanghai Children's Medical Center,Shanghai,200127;Department of Medical Laboratory,Shanghai Children's Medical Center,Shanghai,200127;Infectious Disease Department,Qilu Children's Hospital of Shandong University,Jinan,250022;Department of Medical Laboratory,Qilu Children's Hospital of Shandong University,Jinan,250022;Infectious Disease Department,Children's Hospital of Kaifeng City,Kaifeng,475099;Infectious Disease Department,Children's Hospital of Fudan University,Shanghai,201102;Department of Medical Laboratory,Children's Hospital of Kaifeng City,Kaifeng,475099;Infectious Disease Department,Children's Hospital of Chonqing Medical University,Chongqing,400014;Department of Medical Laboratory,Children's Hospital of Chonqing Medical University,Chongqing,400014;Infectious Disease Department,Shenzhen Children's Hospital,Shenzhen,518038;Department of Medical Laboratory,Shenzhen Children's Hospital,Shenzhen,518038;Infectious Disease Department,The Children's Hospital Zhejiang University School of Medicine,Hangzhou,310003;Department of Medical Laboratory,The Children's Hospital Zhejiang University School of Medicine,Hangzhou,310003;Pediatric I

机构地区：[1]复旦大学附属儿科医院临床检验中心细菌室,上海201102 [2]复旦大学附属儿科医院感染科,上海201102 [3]重庆医科大学附属重庆儿童医院感染科,重庆400014 [4]重庆医科大学附属重庆儿童医院检验科,重庆400014 [5]深圳市儿童医院感染科,深圳518038 [6]深圳市儿童医院检验科,深圳518038 [7]浙江大学医学院附属儿童医院感染科,杭州6310003 [8]浙江大学医学院附属儿童医院检验科,杭州6310003 [9]温州医科大学第二附属医院/温州市育英儿童医院儿童感染科,温州325027 [10]温州医科大学第二附属医院/温州市育英儿童医院检验科,温州325027 [11]上海交通大学医学院附属儿童医院消化感染科,上海200240 [12]上海交通大学医学院附属儿童医院检验科,上海200240 [13]西安市儿童医院感染科,西安710043 [14]西安市儿童医院检验科,西安710043 [15]上海交通大学医学院附属上海儿童医学中心感染科,上海200127 [16]上海交通大学医学院附属上海儿童医学中心检验科,上海200127 [17]济南市儿童医院/山东大学齐鲁儿童医院感染科,济南250022 [18]济南市儿童医院/山东大学齐鲁儿童医院检验科,济南250022 [19]河南省开封市儿童医院东院感染科,开封475099 [20]河南省开封市儿童医院东院检验科,开封475099

出　　处：《中国循证儿科杂志》

年　　份：2018

卷　　号：13

期　　号：6

起止页码：406-411

语　　种：中文

收录情况：BDHX、BDHX2017、CSCD、CSCD2017_2018、JST、ZGKJHX、核心刊

摘　　要：目的了解目前中国大陆儿童细菌感染和耐药现状。方法菌株资料来源2017年1至12月国内10所三级甲等儿童教学医院,抗生素敏感性试验采用自动化仪器法及KB纸片法,结果判断采用美国临床实验室标准化委员会(CLSI)2017年标准。结果共监测到67 774临床分离株,其中革兰阳性菌占42.1%,革兰阴性菌占57.9%,前5位分离株分别为:大肠埃希菌8 904株,肺炎链球菌8 354株,金黄色葡萄球菌6 976株,流感嗜血杆菌6 515株,凝固酶阴性葡萄球菌5 618株。碳青霉烯类耐药的肠杆菌、鲍曼不动杆菌和铜绿假单孢菌在新生儿组及非新生儿组分别占17.9%和9.5%、42.9%和55.4%、39.5%和24.3%,耐甲氧西林金黄色葡萄球菌在两组检出率为35.8%和39.5%。非脑膜炎来源肺炎链球菌分离株中,青霉素不敏感株在新生儿组和非新生儿组分别为23.2%和21.7%,流感嗜血杆菌β-内酰胺酶阳性检出率在两组分别为54.8%和59.9%。结论我国儿童碳青霉烯类耐药菌检出比例逐年升高,新生儿碳青霉烯类耐药肠杆菌科细菌比例较高。

关 键 词：细菌 耐药 儿童 中国儿童细菌耐药监测组  

分 类 号：R446.5] R725.1[临床医学类]