87例AIDS合并重症肺炎的病原学分析  

Pathogens of 87 AIDS patients complicated by severe pneumonia

作　　者：吴锋耀[1] 伍秋云[1] 黄爱春[1] 欧汝志[1] 李雪琴[1] 覃伟[1] 何华伟[1] 朱庆东[1] 卢祥婵[1] 

机构地区：[1]南宁市第四人民医院[广西艾滋病临床治疗中心(南宁)]艾滋病科,530023

出　　处：《传染病信息》2013年第4期221-223,共3页Infectious Disease Information

基　　金：国家"十二五"科技重大专项(2012ZX10001-003);广西壮族自治区卫生厅自筹经费科研课题(Z2012625)

摘　　要：目的了解AIDS合并重症肺炎的病原学特点。方法以南宁市第四人民医院符合AIDS合并重症肺炎诊断标准的住院病例为研究对象,统计患者一般资料、合并症、病原学资料和疾病转归等。结果 AIDS合并重症肺炎病原学检测总体阳性率低,其中真菌检测阳性率高,细菌感染以革兰阴性菌为主,病原菌混合感染多见。结论 AIDS合并重症肺炎病死率高,病原菌混合感染多见。早期联合用药,努力完善病原学检测,加强营养支持及采取有效的通气策略,有助于降低病死率。Objective To investigate pathogens of AIDS complicated by severe pneumonia. Methods The hospitalized AIDS patients complicated by severe pneumonia from the Forth People＇s Hospital of Nanning were enrolled in the study. The general data of the enrolled patients and the data including the incidence of complications, pathogens and outcome were analyzed. Results The total detection rate of the pathogens was low. The detection rate of fungal organisms was relatively high. The gram-negative bacterium was the major pathogen of bacterial infection. Mixed infections were commonly seen. Conclusions AIDS complicated by severe pneumonia has high mortality. Mixed infections by different pathogens are commonly seen. It will help to reduce the mortality to take the measures, such as giving combination therapy early, improving the pathogen detection, enhancing nutritional support, and taking effective ventilation strategies.

关 键 词：获得性免疫缺陷综合征 肺炎 艾滋病相关机会致病菌感染 病原 

分 类 号：R512.91[医药卫生—内科学] R563.1[医药卫生—临床医学]