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Analysis on the incidence and drug resistance of extended spectrum βlactamases in Klebsiella and Escherichia coli from patients with hospital acquired pneumonia |
GONG Wei CHEN Ying-hua ZHAO Jian-min |
Department of Laboratory,the First People′s Hospital of Ji′an City,Jiangxi Province,Ji′an 343000,China |
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Abstract Objective To analyze the incidence and drug resistance of extended spectrum β-lactamases in Klebsiella and Escherichia coli from patients with hospital acquired pneumonia.Methods A total of 104 patients with hospital acquired pneumonia admitted to the First People′s Hospital of Ji′an City from March 2018 to January 2020 were selected for retrospective analysis.The DL-96Ⅱwas mainly used for drug sensitivity test and strain identification,extended spectrum β-lactamases were detected by Kirby-Bauer method,and their incidence and drug resistance characteristics were analyzed.Results There was no significant difference in the positive rate of extended spectrum β-lactamases between Klebsiella and Escherichia coli(P>0.05).Extended spectrum β-lactamases in Escherichia coli showed drug resistance to Ampicillin,Paediatric Compound Sulfamethoxazole Tablets,Aztreonam,Cefperazone/Sulbactam,Piperacillin/Tazobactam,Ceftazidime,Levofloxacin,Imipenem,Cefoxitin and Amikacin,and promoted over time.Conclusion The incidence of extended spectrum β-lactamases in Klebsiella and Escherichia coli from patients with hospital acquired pneumonia is high,and drug resistance also shows gradually increasing trend in recent years.
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