112例老年医院获得性肺炎患者病原学特点及临床分析  

Etiology and Clinical Analysis of 112 Elderly Cases with Hospital-acquired pneumonia

作　　者：张莉[1] 陈玲[1] 佐壮[1] 张鹏[1] 朱勇[1] 张素文[1] 

机构地区：[1]辽宁医学院附属第三医院呼吸科,辽宁锦州121000

出　　处：《中华医院感染学杂志》2010年第20期3234-3235,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨老年医院获得性肺炎(HAP)患者的易患因素病原学特点。方法对2006年11月-2009年11月收治的112例老年合并HAP的患者资料进行回顾分析。结果老年合并HAP患者主要的基础疾病为:脑血管疾病、糖尿病、心血管疾病等,采取痰液标本,共分离出病原菌154株,其中革兰阴性菌占57.14%,革兰阳性菌占30.52%,真菌占12.34%。结论老年合并HAP患者最常见的基础疾病为脑血管疾病、糖尿病;意识障碍、吞咽困难、长期卧床等,是最主要易患因素;主要致病菌为革兰阴性菌,其次为革兰阳性菌,真菌感染率较高。OBJECTIVE To investigate the risk factors,the pathogen and the above correlation in old patients with hospital-acquired pneumonia（HAP）.METHODS The total 112 cases of elderly patients with HAP admitted to our hospital from Nov 2006 to Nov 2,009 were analyzed retrospectively.RESULTS The underlying disease：cerebrovascular diseases,diabetes,cardiovascular disease.Using sputum samples,154 bacteria were isolated,including Gram-negative bacteria accounted for 57.14%,Gram-positive bacteria accounted for 30.52%,fungi accounted for 12.34%.CONCLUSION The common underlying diseases（such as cerebrovascular disease,diabetes mellitus;disturbance of consciousness,swallowing difficulties,bedridden and so on）are the most important risk factors.The main pathogens are Gram-negative bacilli,followed by Gram-positive bacteria and fungal infection rate was high.

关 键 词：老年患者 医院获得性肺炎 病原菌 临床分析 

分 类 号：R378[医药卫生—病原生物学]