Laboratory Medicine ›› 2015, Vol. 30 ›› Issue (2): 160-163.DOI: 10.3969/j.issn.1673-8640.2015.02.014

• Orignal Article • Previous Articles     Next Articles

The distribution and drug resistance analysis of Klebsiella pneumoniae in hospital environment

QIU Guangcui, SUN Mingzhong, SHAO Liangrong, JIN Hao, LU Qiang   

  1. Department of Clinical Laboratory, Yancheng Hospital, Southeast University Medical College, Jiangsu Yancheng 224001, China
  • Received:2014-10-30 Online:2015-02-28 Published:2015-02-12

Abstract: Objective

To investigate the distribution and drug resistance of Klebsiella pneumoniae in the three-tier medical institutes of Yancheng city, in order to provide the reference for the prevention of nosocomial infection and the rational use of antibiotics.

Methods

Klebsiella pneumoniae was determined by VITEK-32 automatic microorganism analyzer, which was produced by France BioMerieux Company. A total of 627 samples were used for Klebsiella pneumoniae determination. Drug sensitivity test of Klebsiella pneumoniae was performed by disk diffusion (K-B ) method. Standard disk diffusion method suggested by the Clinical and Laboratory Standards Institute (CLSI) was employed to conduct the extended-spectrum beta lactamase (ESBL) test.

Results

A total of 213 Klebsiella pneumoniae positive samples were determined from the 627 samples. The positive rate was 33.97%. The highest prevalence of Klebsiella pneumoniae positive samples was observed in the ward of Internal Medicine Department (66.67%), followed by Department of Obstetrics and Gynecology (43.84%) and Treatment Room (43.08%).The resistance rates of Klebsiella pneumoniae to ampicillin and amoxicillin were 96.70% and 99.73%, respectively. A total of 34.27% (73/213) of the determined Klebsiella pneumoniae was ESBL-produced Klebsiella pneumoniae.

Conclusions

The pollution of Klebsiella pneumoniae is common in medical environment with high resistance rate. In order to control the nosocomial infection of Klebsiella pneumoniae, hospital environment disinfection and inspection for Klebsiella pneumoniae pollution are needed to be further strengthened.

Key words: Klebsiella pneumoniae, Hospital environmental pollution, Drug resistance, Extended-spectrum beta lactamase

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