Background. Antibiotic resistance is a global public health problem, leading to high mortality and treatment costs. To achieve more e cient treatment protocols and better patient recovery, the distribution and drug resistance of pathogens in our hospital were investigated, allowing signi cant clinical guidance for the use of antimicrobials. Methods. In this retrospective study (2017)(2018)(2019), 3482 positive samples were isolated from 43,981 specimens in 2017; 3750 positive specimens were isolated from 42,923 specimens in 2018; and 3839 positive pathogens were isolated from 46,341 specimens in 2019. ese samples were from various parts of the patients, including the respiratory tract, urine, blood, wound secretions, bile, and puncture uids. e distribution and antibiotic resistance of these isolated pathogens from the whole hospital were analyzed. Results. e results from pathogen isolation showed that Escherichia coli (12.8%), Staphylococcus aureus (11%), Klebsiella pneumoniae (10.8%), Pseudomonas aeruginosa (10.7%), and Acinetobacter baumannii (6.4%) represented the ve main pathogenic bacteria in our hospital. Pseudomonas aeruginosa (16.2% and 17.5%) occupied the largest proportion in the central intensive care unit (central ICU) and respiratory intensive care unit (RICU), while Acinetobacter baumannii (15.4%) was the most common pathogen in the emergency intensive care unit (EICU).e resistance rate of Escherichia coli to trimethoprim and minocycline was 100%, and the sensitivity rate to ertapenem, furantoin, and amikacin was above 90%.e resistance rate of Pseudomonas aeruginosa to all antibiotics, such as piperacillin and cipro oxacin, was under 40%. e sensitivity rate of Acinetobacter baumannii to tigecycline and minocycline was less than 30%, and the resistance rate to many drugs such as piperacillin, ceftazidime, and imipenem was above 60%. Extended-spectrum β-lactamases (ESBLs)-producing Klebsiella pneumoniae (ESBLs-KPN) and carbapenem-resistant Klebsiella pneumoniae (CRE-KPN), ESBLs-producing Escherichia coli (ESBLs-ECO) and carbapenem-resistant Escherichia coli (CRE-ECO), multidrug-resistant Acinetobacter baumannii (MDR-AB), multidrug-resistant Pseudomonas aeruginosa (MDR-PAE), and methicillin-resistant Staphylococcus aureus (MRSA) are all important multidrug-resistant bacteria found in our hospital. e resistance rate of ESBLsproducing Enterobacteriaceae to ceftriaxone and amcarcillin-sulbactam was above 95%. CRE Enterobacteriaceae bacteria showed the highest resistance to amcarcillin-sulbactam (97.1%), and the resistance rates of MDR-AB to cefotaxime, cefepime, and aztreonam were 100%.e resistance rates of MDR-PAE to ceftazidime, imipenem, and levo oxacin were 100%, and the sensitivity rate to polymyxin B was above 98%. e resistance rate of MRSA to oxacillin was 100%, and the sensitivity rate to linezolid and vancomycin was 100%. Conclusion. e distribution of pathogenic bacteria in di erent hospital departments and sample sources was markedly di erent. erefore, targeted prevention and control of key path...