Article(id=1291704849775743627, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291704811443999077, articleNumber=null, orderNo=null, doi=10.13699/j.cnki.1001-6821.2025.18.001, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1752076800000, receivedDateStr=2025-07-10, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1785896034901, onlineDateStr=2026-08-05, pubDate=1758988800000, pubDateStr=2025-09-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1785896034901, onlineIssueDateStr=2026-08-05, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1785896034901, creator=13701087609, updateTime=1785896034901, updator=13701087609, issue=Issue{id=1291704811443999077, tenantId=1146029695717560320, journalId=1246415772164075586, year='2025', volume='41', issue='18', pageStart='2551', pageEnd='2700', issueExtLink='null', onlineDate='null', pubDate='1758988800000', pubDateStr='2025-09-28', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1785896025763, creator='13701087609', updateTime=1785896871490, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1291708358743053253, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291704811443999077, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1291708358743053254, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291704811443999077, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=2551, endPage=2566, ext={EN=ArticleExt(id=1291704851541545613, articleId=1291704849775743627, tenantId=1146029695717560320, journalId=1246415772164075586, language=EN, title=Antimicrobial susceptibility of gram-positive organisms: Results from China antimicrobial resistance surveillance trial (CARST) program, 2023-2024, columnId=1291404846742102089, journalTitle=Chinese Journal of Clinical Pharmacology, columnName=Bacterial Resistance Surveillance, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the gram-positive coccus resistance in nationwide tietiary hospitals, understand the trend of antimicrobial resistance and provide scientific data for the rational use of antibiotis.
Method All the clinical isolates were collected from 18 hospitals and the minimal inhibitory concentrations (MICs) were tested using agar/broth dilution method recommended by Clinical and Laboratory Standards Institute (CLSI) in central laboratory.
Results A total of 2 311 pathogenic gram-positive coccus from 18 tertiary hospitals in 18 cities nationwide over the period from July 2023 to June 2024 were studied. Based on the MIC results, the prevalence of methicillin resistant Stapylococcus aureus (MRSA) and methicillin resistant Stapylococcus epidermidis (MRSE) were 30.6% and 76.3%, respectively. No vancomycin insensitivitive Staphylococcus was detected. Stapylococcus aureus were 100% susceptible to linezolid and teicoplanin. Antibiotic resistance rates of Enterococcus faecalis and Enterococcus faecium to ampicillin were 0.6% and 89.1%, respectively. 18 strains of vancomycin-resistant Enterococcus (VRE) were detected, all of which was Enterococcus faecium. The detection rate of VRE among Enterococcus faecium was 5.5%. The prevalence of penicillin non-susceptible Streptococcus pneumoniae (PNSSP) was 9.9% based on non-meningitis and parenteral administration criterion, while for cases of oral penicillin, the rate was 73.1%, showing similar to last time. The resistance rates of Streptococcus pneumoniae from children to cephalosporins, macrolides and clindamycin were slightly higher than those of adults and the elderly, while there were no statistic significant differences of resistance rates of Stapylococcus aureus, Stapylococcus epidermidis, Enterococcus faecalis, Enterococcus faecium and Streptococcus pneumoniae among various groups such as different departments, ages, or specimen sources (all P>0.05).
Conclusion The detection rate of MRSA has continued to decline, while the detection rate of VRE has been on the rise. This situation requires continuous monitoring.
, authors=Yun LI
1, Bo ZHENG
1, Lan-qing CUI
1, Xiu-zhen ZHANG
2, Yun-jian HU
2, Yu-fen JIN
3, Shi-yang PAN
4, Wei GUO
5, Feng ZHAO
6, Yun-song YU
7, Xuan CAI
8, Wen-en LIU
9, De-hua LIU
10, Ying FEI
11, Jia-yun LIU
12, Feng-yan PEI
13, Ling MENG
14, Ping JI
15, Jin TANG
16, Lei ZHU
17, Kai-su PAN
18, He-ping XU
19, Jian-dong ZHANG
20, Feng XUE
1, Shan WANG
1, Yao-yao LIU
1, Wei ZHONG
1, authorsList=Yun LI, Bo ZHENG, Lan-qing CUI, Xiu-zhen ZHANG, Yun-jian HU, Yu-fen JIN, Shi-yang PAN, Wei GUO, Feng ZHAO, Yun-song YU, Xuan CAI, Wen-en LIU, De-hua LIU, Ying FEI, Jia-yun LIU, Feng-yan PEI, Ling MENG, Ping JI, Jin TANG, Lei ZHU, Kai-su PAN, He-ping XU, Jian-dong ZHANG, Feng XUE, Shan WANG, Yao-yao LIU, Wei ZHONG, authorCompany=null, correspAuthors=Bo ZHENG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1291704852103582350, articleId=1291704849775743627, tenantId=1146029695717560320, journalId=1246415772164075586, language=CN, title=中国细菌耐药监测研究（CARST）2023-2024年革兰氏阳性菌监测报告, columnId=1291404846905679947, journalTitle=中国临床药理学杂志, columnName=细菌耐药监测, runingTitle=null, highlight=null, articleAbstract=
目的 监测我国主要城市三级甲等医院感染患者分离革兰氏阳性菌的耐药状况，掌握耐药流行趋势，为抗菌药物合理使用提供科学数据。
方法 定点收集全国18家医院临床分离细菌，由中心实验室统一用琼脂/肉汤二倍稀释法测定抗菌药物最低抑菌浓度（MIC）值。
结果 对2023年7月至2024年6月间来自全国18座城市18家医院的2 311株临床分离致病菌进行了MIC测定。结果显示，甲氧西林耐药金黄色葡萄球菌（MRSA）和甲氧西林耐药表皮葡萄球菌（MRSE）检出率分别为30.6%和76.3%。未发现万古霉素不敏感葡萄球菌，金黄色葡萄球菌对利奈唑胺和替考拉宁100%敏感。粪肠球菌和屎肠球菌对氨苄西林的耐药率分别为0.6%和89.1%。检出18株万古霉素耐药肠球菌（VRE），均为屎肠球菌，屎肠球菌中VRE检出率为5.5%。青霉素不敏感肺炎链球菌（PNSSP）检出率按非脑膜炎、非肠道系统给药折点计算为9.9%，按口服青霉素V折点计算为73.1%，较前次监测变化不大。来自儿童的肺炎链球菌对头孢菌素类、大环内酯类、克林霉素耐药率略高于成人和老年人，但不同病房、不同年龄、不同标本来源金黄色葡萄球菌、表皮葡萄球菌、粪肠球菌、屎肠球菌及肺炎链球菌耐药率比较，在统计学上差异均无统计学意义（均P>0.05）。
结论 MRSA检出率持续下降，VRE检出率呈上升趋势，需持续关注。
, authors=李耘
1, 郑波
1, 崔兰卿
1, 张秀珍
2, 胡云建
2, 金玉芬
3, 潘世扬
4, 郭玮
5, 赵锋
6, 俞云松
7, 蔡璇
8, 刘文恩
9, 刘德华
10, 费樱
11, 刘家云
12, 裴凤艳
13, 孟灵
14, 季萍
15, 汤进
16, 朱镭
17, 潘开素
18, 徐和平
19, 张健东
20, 薛峰
1, 王珊
1, 刘姚姚
1, 钟巍
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