Epidemiological study of “ESKAPE” infections in neurosurgery wards

doi:10.3969/j.issn.1006-7795.2017.04.009

Abstract

Abstract: Objective To explore the epidemiological features of six kinds of severe drug-resistant bacteria in patients with neurosurgery-induced infection in 2012-2016.Methods Six kinds of antibiotic resistant bacteria isolated from cerebrospinal fluid in patients with neurosurgery were collected from January 2012 to December 2016 in Beijing Tiantan Hospital Affiliated to Capital Medical University, and their epidemiological characteristics and drug resistance were analyzed. Results In the past 5 years, 2 250 isolates of pathogens in cerebrospinal fluid culture were isolated. Among them, the separation rate of six strains of pathogenic bacteria is 23.2%, accounting forKlebsiella pneumoniae, Acinetobacter baumannii and Staphylococcus aureus was higher than that of Enterococcus faecalis, Pseudomonas aeruginosa and Enterobacter spp. The resistance rate of MRSA was higher than 40.0%, and the resistance rate of carbapenem to Klebsiella pneumoniae and Acinetobacter baumannii was higher than 40.0%. Conclusion In the period of 2012-2016, six kinds of common nosocomial infection pathogens were more resistant to iatrogenic infection in the neurosurgical patients, especially the proliferation of drug-resistant bacteria such as methicillin-resistant Staphylococcus aureus(MRSA), vancomycin resistant Enterobacteriaceae (VRE) and (carbapenem resistant Enterobacteriaceae (CRE), and the clinical selection of antibiotics for neurosurgery. The ESKAPE infection in neurosurgery ward is bad.

Key words: drug-resistance bacteria, neurosurgical infection, cerebrospinal fluid

CLC Number:

R446.6

Liu Jingzheng, Zheng Guanghui, Lyu Hong, Chen Yan, Ma Ruimin, Zhang Guojun. Epidemiological study of “ESKAPE” infections in neurosurgery wards[J]. Journal of Capital Medical University, 2017, 38(4): 530-534.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.04.009

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I4/530

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