老年人社区获得性肺炎病原学的调查  

The etiology survey on elderly patients with community acquired pneumonia

作　　者：余连香[1] 王京萍[1] 

机构地区：[1]黄山市人民医院医院感染管理科,安徽黄山245000

出　　处：《临床肺科杂志》2010年第6期786-787,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨老年人社区获得性肺炎(CAP)发病相关的主要因素及病原学特点。方法对151例老年人CAP住院患者,总结其基础疾病及其病原学分布特点。结果老年人CAP住院患者多有基础疾病,病原学检查检出率为76.1%,致病菌以G-杆菌为主,检出率依次为肺炎克雷白杆菌、肺炎链球菌、铜绿假单胞菌、大肠埃希菌,流感嗜血杆菌、非典型致病菌等。结论老年人CAP住院患者基础疾病多、临床表现不典型、病原菌复杂,应当引起临床医生的高度重视。Objective To discuss major factors that lead to the community acquired pneumonia（CAP） of the elderly patients and the disease＇s etiology characteristics. Methods The clinical data of 151 hospitalized patients were retrospectively analyzed; the character- istics of etiology distribution of the disease and its underlying diseases were summed up. Results Most of the elderly hospitalized patients with CAP had underlying diseases, the pathogenic detection rate was 76.1%, and pathogenic bacteria were mainly Bacillus G. The detection rate followed by klebsiella pneumoniae, streptococcus pneumoniae, pseudomonas aerugiuosa, Escherichia coli, haemophilus influenzae, atypical pathogens,etc. Conclusion The elderly hospitalized patients with CAP have a lot of underlying diseases, clinical symptoms are not very typical, pathogenic bacteria are very complex. Clinicians should attach great importance to all these.

关 键 词：社区获得性肺炎 老年人 病原菌 

分 类 号：R563.1[医药卫生—呼吸系统]