Laboratory Medicine ›› 2015, Vol. 30 ›› Issue (2): 163-166.DOI: 10.3969/j.issn.1673-8640.2015.02.015

• Orignal Article • Previous Articles     Next Articles

Analysis on the pathogenic bacterium distribution and drug resistance among 2 418 cases of blood culture

WU Fangfang1, XU Wen1, YANG Leyuan2   

  1. 1.Department of Clinical Laboratory, Jiangong Hospital, Shanghai 200083, China
    2.Baoshan Branch, Shanghai First People's Hospital, Shanghai 200940, China
  • Received:2014-08-15 Online:2015-02-28 Published:2015-02-12

Abstract: Objective

To understand the blood culture pathogenic bacterium distribution and drug resistance, and to provide the reference for clinical treatment.

Methods

By retrospective investigation from January 1, 2011 to December 31, 2013, the bacteria isolated from blood specimens were collected for analysis.

Results

A total of 2 418 blood culture specimens were detected, there were 226 isolates of pathogenic bacteria, and the positive rate was 9.3%, including 143 isolates of gram-negative bacilli (63.3%), 83 isolates of gram-positive cocci (36.7%). The biggest isolation was Escherichia coli (99 isolates, 43.8%), 43 isolates of coagulase-negative Staphylococcus (19.0%) and 20 isolates of Klebsiella pneumoniae (8.8%). Escherichia coli and Klebsiella pneumoniae were sensitive to imipenem, amikacin and piperacillin-tazobactam. Gram-positive coccus is highly sensitive to vancomycin and teicoplanin.

Conclusions

The main isolated blood culture pathogenic bacterium is gram-negative bacillus, and the drug resistance of isolated pathogenic bacterium is severe. The clinical pathogenic bacterium resistance monitoring and the rational use of antimicrobial agents should be strengthened.

Key words: Blood culture, Clinically isolated bacterium, Drug resistance

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