老年患者呼吸机相关性肺炎的病原学以及耐药性分析
【摘要】 目的:分析老年患者呼吸机相关性肺炎的病原学以及耐药性。方法:回顾性分析本院在2010年2月-2012年12月治疗的58例老年呼吸机相关性肺炎患者的临床资料。结果:共检出病原菌196株,其中革兰阴性菌占86.73%,革兰阳性菌占13.27%,革兰阴性菌铜绿假单胞菌占23.47%,鲍氏不动杆菌占16.84%,革兰阳性菌金黄色葡萄球菌占14.29%;病原菌对常用抗生素的耐药性较高。结论:革兰阴性菌是老年患者呼吸机相关性肺炎的主要致病菌,治疗时应合理使用抗菌药物。
【关键词】 呼吸机相关性肺炎; 病原学; 耐药性
Analysis on Pathogen Distribution and Pathogen Drug Resistance in Elder Patients with Ventilator Associated Pneumonia/LI Zhao,ZHENG Yu-mei,LI Yong-kui,et al.//Medical Innovation of China,2014,11(01):045-046
【Abstract】 Objective:To analyze the pathogen distribution and pathogen drug resistance in elder patients with ventilator associated pneumonia.Method:Retrospective analyzed the clinical data of the 58 elder patients with ventilator associated pneumonia in our hospital from February 2010 to December 2012.Result:196 pathogens were isolated from the 58 elder patients with ventilator associated pneumonia,of which gram-negative bacterium accounted for 86.73%,gram positive bacteria accounted for 13.27%.The pseudomonas aeruginosa was 23.47%,acinetobacter baumannii was 16.84% and staphylococcus aureus was 14.29%.The antibiotic resistance of the pathogens were increasingly higher.Conclusion:The main pathogens of VAP elder patients with ventilator associated pneumonia is gram-negative bacterium.Treatment should be rational use of antimicrobial agents.
【Key words】 Ventilator associated pneumonia; Pathogen; Drug resistance
First-author’s address:Sihui People’s Hospital,Sihui 526200,China
doi:10.3969/j.issn.1674-4985.2014.01.022
呼吸机相关性肺炎是呼吸机治疗过程中常见的并发症之一,其发病率和死亡率均较高,老...
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