支气管肺炎患儿医院感染病原体分布与耐药性分析  

Distribution and drug resistance of pathogens causing nosocomial infections in children with bronchial pneumonia

作　　者：吴乃胜[1] 陈亚萍[1] 刘坤鹏[1] 黄锂新[1] 周家兴[1] 

机构地区：[1]宁波市妇女儿童医院急诊科,浙江宁波315012

出　　处：《中华医院感染学杂志》2016年第8期1884-1886,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅基金资助项目(ZJ291822)

摘　　要：目的分析支气管肺炎患儿医院感染病原体分布及耐药性,为临床治疗提供参考依据。方法选择2012年1月-2015年1月医院收治的支气管肺炎患儿5 778例,其中医院感染患儿共544例,分析其病原体分布与耐药性,数据采用SPSS 17.0软件进行统计分析。结果共544例发生感染,感染率为9.41%;共检出270株细菌,以革兰阴性菌为主,共181株占67.04%;革兰阳性菌中金黄色葡萄球菌、肺炎链球菌、溶血性链球菌对卡那霉素耐药率较低,均<35.00%;鲍氏不动杆菌对青霉素G、氨苄西林、头孢唑林、头孢噻肟、亚胺培南均有较高耐药率,均为100.00%;<1岁患儿发生医院感染率为50.00%。结论病原体感染与患儿年龄以及住院季节由关系,应采取相应的预防控制措施,以预防医院感染。OBJECTIVE To analyze the distribution and drug resistance of pathogen causing nosocomial infections in children with bronchial pneumonia,so as to provide references for clinical treatment.METHODS From Jan.2012 to Jan.2015,a total of 5778 children with bronchial pneumonia were admitted in our hospital.Among them,544 cases got infected.The distribution and drug resistance of pathogens were analyzed.SPSS 17.0was adopted for statistical analysis.RESULTS Totally 544 cases were infected and the infection rate was 9.41%.There were 270 strains of bacteria being detected,dominated by gram-negative bacteria with 181 strains,accounting for 67.04%.Staphylococcus aureus,Streptococcus pneumoniae and Hemolytic streptococcus proved to be sensitive to Kanamycin（the resistance rates all35.00%）.Acinetobacter baumannii were found to be 100.00%resistant to penicillin G,ampicillin,cefazolin,cefotaxime and imipenem.The incidence rate of nosocomial infections was 50.00%in the children aged less than one year old.CONCLUSION Hospital infection is proved to be related to the children＇s age and seasons of hospitalization.Relevant preventive measures should be taken to prevent nosocomial infections.

关 键 词：支气管肺炎 患儿 医院感染 病原体 年龄 季节 

分 类 号：R725.6[医药卫生—儿科]