产esbls肠杆菌科细菌感染的治疗（201396杭州俞云松） 课件

Pseudomonas eruginosa and obacter spp.РESBLs are rare in:РGuangzhouРZhejiangРShanghaiРBeijingРWuhanРHenanРHong KongР社区获得感染ESBLs流行情况Р2002-2003年?中国7个地区?社区获得性感染病人分离的革兰阴性菌共2099株Р肠杆菌科细菌产ESBLsРAll?(1651)РE. coli?(953)РKlebsiella?(357)РEnterobacterCitrobacter, Serratia (175)РESBL +Р??Р16Р17Р??РImipenemР0Р0Р0Р0РErtapenemР0Р0Р0Р0РCefotaximeР14.7Р14.4Р15.4Р25.1РCeftazidimeР(5.9)Р(2.7)Р(8.1)Р20.0РPip/tazР9.5Р7.1Р13.2Р21.7РCiprofloxacinР40.8Р50.6Р25.2Р22.9РAntimicrob Agents Chemother. 2006 Jan;50(1):374-8.РESBLs – an emerging problem?Glasswell et al, Healthcare-associated Infection and Antimicrobial Resistance Dept & Antimicrobial Resistance Monitoring and Reference Laboratory, Health Protection Agency, Colindale, LondonРSpecies Distribution of GNB Causing IAIs ?2,292 Isolates, China, SMART, 2002-2007