泛耐药鲍氏不动杆菌感染的治疗与控制进展

被引:25
作者
刘方 [1 ]
武迎宏 [2 ]
安友仲 [1 ]
机构
[1] 北京大学人民医院外科重症加强治疗病房
[2] 北京大学人民医院医院感染管理科
关键词
泛耐药鲍氏不动杆菌; 耐药机制; 治疗进展; 预防控制措施;
D O I
暂无
中图分类号
R516 [杆菌传染病];
学科分类号
100401 ;
摘要
<正>鲍氏不动杆菌是革兰阴性杆菌,是抗酸不动杆菌种属,目前成为世界范围医院感染的重要致病菌,它具有多种耐药机制,并出现耐药菌株[1],导致临床治疗困惑。美国疾病控制预防中心(CDC)统计,>300所美国医院的监测结果显示[2],抗酸杆菌如鲍氏不动杆菌对碳青霉烯类抗菌药物的耐药率从1995年的9.0%上升至2005年的40.0%。1996-2003年北京协和医院分离的鲍氏不动杆菌对于亚胺培南的耐药率<5.0%,而2004年在ICU患者分离出鲍氏不动杆菌
引用
收藏
页码:877 / 880
页数:4
相关论文
共 8 条
[1]   不动杆菌属多重耐药及泛耐药的分子机制研究 [J].
王辉 ;
孙宏莉 ;
宁永忠 ;
杨启文 ;
陈民钧 ;
朱元珏 ;
徐英春 ;
谢秀丽 .
中华医学杂志, 2006, (01) :17-22
[2]  
Management of a multidrug-resistant Acinetobacter baumannii outbreak in an intensive care unit using novel environmental disinfection: A 38-month report[J] . Carlo La Forgia,John Franke,Donna M. Hacek,Richard B. Thomson,Ari Robicsek,Lance R. Peterson.AJIC: American Journal of Infection Control . 2010 (4)
[3]  
Minocycline—an old drug for a new century: emphasis on methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter baumannii[J] . Eliahu Bishburg,Kathryn Bishburg.International Journal of Antimicrobial Agents . 2009 (5)
[4]   Tigecycline in the treatment of infections from multi-drug resistant gram-negative pathogens [J].
Poulakou, Garyphallia ;
Kontopidou, Flora V. ;
Paramythiotou, Elisabeth ;
Kompoti, Maria ;
Katsiari, Maria ;
Mainas, Efstratios ;
Nicolaou, Chara ;
Yphantis, Dimitrios ;
Antoniadou, Anastasia ;
Trikka-Graphakos, Eleftheria ;
Roussou, Zoi ;
Clouva, Phyllis ;
Maguina, Nina ;
Kanellakopoulou, Kyriaki ;
Armaganidis, Apostolos ;
Giamarellou, Helen .
JOURNAL OF INFECTION, 2009, 58 (04) :273-284
[5]  
Comparative activities of colistin, rifampicin, imipenem and sulbactam/ampicillin alone or in combination against epidemic multidrug-resistant Acinetobacter baumannii isolates producing OXA-58 carbapenemases[J] . Marie-Francoise Tripodi,Emanuele Durante-Mangoni,Rosaria Fortunato,Riccardo Utili,Raffaele Zarrilli.International Journal of Antimicrobial Agents . 2007 (6)
[6]  
Continuous versus intermittent intravenous administration of antibiotics: a meta-analysis of randomised controlled trials[J] . Sofia K Kasiakou,George J Sermaides,Argyris Michalopoulos,Elpidoforos S Soteriades,Matthew E Falagas.The Lancet Infectious Diseases . 2005 (9)
[7]  
Metallo-β-lactamase-producing Gram-negative bacilli in Korean Nationwide Surveillance of Antimicrobial Resistance group hospitals in 2003: Continued prevalence of VIM-producing pseudomonas spp. and increase of IMP-producing Acinetobacter spp[J] . Kyungwon Lee,Gyoung Yim Ha,Bo-Moon Shin,Jin Ju Kim,Jung Oak Kang,Sook Jin Jang,Dongeun Yong,Yunsop Chong.Diagnostic Microbiology & Infectious Disease . 2004 (1)
[8]  
A phase 3. open-label, non-comparative study of tigecycline in the treatment of patients with selected serious infections due to resistant Gram-negative organisms including Enterobacter species, Acinetobacter baumannii and Klebsiella pneumoniae. Vasilev K,Reshedko G,Orasan R. et al. Journal of Antimicrobial Chemotherapy . 2008