基层医院ICU呼吸机相关性肺炎病原菌与耐药性研究  

The study of pathogen and drug resistance of VAP in the basic level hospital

作　　者：宁小平[1] 

机构地区：[1]广东医学院附属西乡人民医院,518102

出　　处：《医学信息（下旬刊）》2011年第5期84-85,共2页Medical information

摘　　要：目的：了解基层医院ICU呼吸机相关性肺炎的临床症状,探讨引发呼吸机相关性肺炎病原菌及耐药性.方法：对30例基层ICU呼吸机相关性肺炎患者的临床诊疗资料进行回顾性分析.结果：致病菌为50株,其中革兰阴性菌35株,占70%,革兰阳性菌13株,占26%,真菌2株,占4%.铜绿假单胞菌属及肺炎克雷伯杆菌对亚胺培南的敏感率最高,金黄色葡萄球菌对万古霉素最敏感.结论：基层医院ICU呼吸机相关性肺炎的致病菌以革兰阴性菌为主,且多重耐药严重,合理控制抗生素使用刻不容缓.Objective： To acquaint the clinical symptoms of VAP in the basic level hospital, and explore the pathogen and its drug resistance of VAP. Methods： To retrospective analysis the clinical diagnosis and treatment data of 30cases VAP. Result： There was 35 Gram-negative bacterias （70% ）, 13 Gram-positive bacterias （26 %）, 2 epiphytes of 50 pathogenetic bacterias. Conclusions： The sensitive rate of ccouants and Klebsiella pneumoniae to the imipenem was the tallest, and had serious muhidrug. So , to control the reasonable use of antibiotics was urgent.

关 键 词：基层医院 呼吸机相关性肺炎 病原菌 耐药性 

分 类 号：R563[医药卫生—呼吸系统]