感染中毒症25例临床观察  

Clinical Observation of 25 Cases With Septicemia

作　　者：郑立学[1] 毛红菊[1] 

机构地区：[1]济南市中心医院感染科,250013

出　　处：《中国实用医药》2008年第18期27-28,共2页China Practical Medicine

摘　　要：目的分析25例感染中毒症患者血培养致病菌的种类、耐药谱及预后。方法回顾性分析我院住院诊断为感染中毒症的25例患者的临床资料。结果25例感染中毒症患者血培养共分离出致病菌26株:革兰阳性茵12株,革兰阴性茵10株,真茵4株。大部分茵株对常用抗生素出现多重耐药。25例患者治愈17例(68%),死亡4例(16%),放弃治疗3例。结论革兰阳性茵是感染中毒症的主要菌群,并且呈多重耐药,早期应用抗真菌药物有必要。Objective To study the bacteria strain and resistance to commonly used antibiotics and prognosis of 46 patients with septicemia. Methods The results of blood cultures and drug sensitive test of 25 patients diagnosed as septicemia in our hospital were analysed retrospectively. Results Twenty-six strains of microorganisms were isolated from blood cultures of 25 patients includingl2 strains of gram positivebacteria, 10 strains of gram negative bacteria and 4 strains of fungus. Many strains developed multi-drug resistance to the commonly used antibiotics. Seventeen（68% ）cases were cured,4 （ 16% ）cases died and the other 3 cases gave up treatment. Conclusion Gram positive bacteria septicemia is the main bacteria and shows a trend of on multidrug resistance. It is necessary to use antifungal drugs

关 键 词：感染中毒症 致病菌 耐药性 抗真菌药物 

分 类 号：R459.7[医药卫生—急诊医学]