揭示耐药的秘密—培训课件.ppt

* 谢谢 * 9 (28) What is the clinical implication of the 3 cases of vancomycin in intermediate susceptible Staphylococcus aureus? 1. first we need to be much more restrict about vancomycin usage is urgent. 2. secondly if we have patients who have Staphylococcus aureus recovered after threapy with vancomycin, you should test those strains by using MIC determination with 24 hours incubation period. If you found VRSA, you should isolate those patients and contact the local health public authority. Now set onset prevention is better than pound it cure.???? How can we prevent this rsistance problem? There are two things we can do. We can try to control antibiotics better. When the day when any doctor can describe any antibiotic like here that she wants in USA is over. In USA we are become much more concerned the about antibiotics control instructions * 9 (28) What is the clinical implication of the 3 cases of vancomycin in intermediate susceptible Staphylococcus aureus? 1. first we need to be much more restrict about vancomycin usage is urgent. 2. secondly if we have patients who have Staphylococcus aureus recovered after threapy with vancomycin, you should test those strains by using MIC determination with 24 hours incubation period. If you found VRSA, you should isolate those patients and contact the local health public authority. Now set onset prevention is better than pound it cure.???? How can we prevent this rsistance problem? There are two things we can do. We can try to control antibiotics better. When the day when any doctor can describe any antibiotic like here that she wants in USA is over. In USA we are become much more concerned the about antibiotics control instructions * 全国四大城市均发现了CTX-M型，这种基因型的出现，提示我们：过去做了些什么？ 可能过度的使用了头孢噻肟和头孢曲松，选择压力下出现了大量的CTX-M型ESBL酶。 现在应该做些什么？限制或停止使用对CTX-M型ESBL高选择的抗生素，恢复细菌的 敏感性非常重要！ * Many patient characteristics may affect the probability of resistance For example, the proportion of Escherichia coli isolates resistant to fluoroquinolones