鲍曼不动杆菌肺炎41例临床分析  

The diagnosis and treatment of the pneumonia caused by Acinetobacter baumannii

作　　者：张菊英[1] 司进[1] 葛庚芝[1] 吴洪范[1] 

机构地区：[1]天津医科大学第二医院内科,天津300211

出　　处：《天津医科大学学报》2002年第2期216-217,220,共3页Journal of Tianjin Medical University

摘　　要：目的 :总结鲍曼不动杆菌肺炎的临床特点。方法 :将2000年7月～2001年6月收治的41例鲍曼不动杆菌肺炎患者的临床表现及细菌培养结果加以分析。结果 :鲍曼不动杆菌肺炎病人多发生在年老体弱、免疫力低下住院病人 ,尤其是慢性阻塞性肺病 (COPD)病人容易导致鲍曼不动杆菌呼吸道感染 ,鲍曼不动杆菌对亚胺培南耐药性最低 ,对β-内酰胺酶类抗生素耐药性氨苄西林最高 ,哌拉西林及头孢他啶最低。舒巴坦明显降低了氨苄西林和头孢哌酮对鲍曼不动杆菌的耐药率 ,喹诺酮类和氨基糖甙类抗生素耐药率较低。结论 :鲍曼不动杆菌肺炎临床表现无特异性 ,药敏结果显示此菌耐药严重 。Objective: To summerize the clinical charactristics of pneumonia caused by Acinetobacter baumannii.Methods: The clinical data and antibiotic susceptibility studies of 41 cases from our department in 2000.7～2001.6 were reviewed.Results: Pneumonia caused by Acinetobacter baumannii occurred mostly in the older and week patients, especially accompanied by chronic obstructive pulmonaary disease.The resistance of imipenem was the lowest among the tested antibiotics, amongβ-lactam antibiotics, resistance of ampicillin was the highest, resistance of piperacillin and ceftazidime was the lowest. Sulbactam reduced the resistance of ampicilin and cefoperazone markedly. Resistance of quenolines and aminoglycosides were lower.Conclusion: The clinical situation of pneumonia caused by Acinetobacter baumannii was non-specificity. The antibiotic susceptibility studies showed the resistance was severity, choice of antibiotics must depend on the results of antibiotic susceptibility studies.

关 键 词：肺炎 鲍曼不动杆菌 诊断 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]