重症监护病房呼吸机相关性肺炎病原学以及耐药性分析  

Intensive Care Unit Ventilator-Associated Pneumonia Etiology, and Drug Resistance

作　　者：陈中俊[1] 彭易根[1] 石岩[1] 刘刚[2] 韩秋[1] 杜叶平[1] 

机构地区：[1]江苏省淮安市第二人民医院重症医学科,江苏淮安223002 [2]江苏省淮安市第一人民医院骨科,江苏淮安223300

出　　处：《现代生物医学进展》2012年第6期1118-1121,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨重症监护病房呼吸机相关性肺炎病原学以及耐药性。方法:对我院2007年2月-2011年7月ICU内出现呼吸机相关性肺炎的患者99例作为研究对象,并对取痰液标本进行病原学以及耐药性分析。结果:革兰阴性菌的检出明显高于其他菌属,在G-杆菌中铜绿假单胞菌以及大肠埃希菌最为常见,G+球菌中以金黄色葡萄球菌以及肺炎链球菌最为常见;所有菌属均对常规抗菌药物有一定的耐药性,但其对万古霉素的敏感性仍然较高。结论:加强对ICU呼吸机相关肺炎进行分离致病菌并对其进行耐药性检测,以指导合理使用抗菌药物,有助于改善患者预后。Objective： To investigate the intensive care unit ventilator-associated pneumonia etiology,and drug resistance.Methods： The hospital in February 2007 July 2011 appear in ICU ventilator-associated pneumonia in patients with 99 cases for the study,and spu-tum specimens of the etiology and to take drug resistance.Results： The detection of Gram-negative bacteria was significantly higher than other species,the G-bacteria Pseudomonas aeruginosa and Escherichia coli is the most common,G＋cocci Staphylococcus aureus and Streptococcus pneumoniae is the most common;all species are on conventional antibiotics have some resistance,but its sensitivity to vancomycin remains high.Conclusion： To strengthen the ICU ventilator-associated pneumonia pathogens were isolated and its resistance testing to guide the rational use of antibiotics,help to improve the prognosis of patients.

关 键 词：重症监护室 呼吸机 肺炎 耐药性 

分 类 号：R563.1[医药卫生—呼吸系统]