老年住院社区获得性肺炎患者合并耐药菌影响因素分析  

Analysis of Influencing Factors in Elderly Hospitalized Patients with Community-acquired Pneumonia Combined with Drug-resistant Bacteria

作　　者：黄潘文[1] 方年新[1] 张平[1] HUANG Panwen;FANG Nianxin;ZHANG Ping(Department of Respiratory and Critical Care Medicine,Dongguan People's Hospital,Dongguan,Guangdong Province,523000 China)

机构地区：[1]广东省东莞市人民医院呼吸与危重症医学科,广东东莞523000

出　　处：《中外医疗》2021年第9期52-54,共3页China & Foreign Medical Treatment

摘　　要：目的探讨老年住院社区获得性肺炎(CAP)患者合并耐药菌影响因素。方法方便选取2019年2月—2020年4月该院收治老年CAP患者70例进行研究,根据患者致病菌药敏结果分为A组(非耐药菌感染)和B组(耐药菌感染),对一般临床资料、相关临床资料进行分析,探究影响老年住院CAP患者合并耐药菌影响因素。结果单因素分析得出,吸烟史、年住院次数、长期卧床、不良用药史、合并糖尿病、合并脑卒中在两组患者中比较差异有统计学意义(P<0.05)。多因素分析得出,吸烟史(OR=3.214,P<0.05)、年住院次数(OR=2.647,P<0.05)、长期卧床(OR=4.642,P<0.05)、不良用药史(OR=5.164,P<0.05)、合并糖尿病(OR=2.665,P<0.05)、合并脑卒中(OR=3.165,P<0.05)为老年CAP住院患者合并耐药菌感染危险因素。结论老年住院CAP患者合并耐药菌感染影响因素较多,临床中针对进行预防和干预,对降低老年住院CAP患者合并耐药菌有重要价值。Objective To explore the influencing factors of drug-resistant bacteria in elderly hospitalized patients with community-acquired pneumonia(CAP).Methods From February 2019 to April 2020,70 elderly patients with CAP were conveniently selected for research in the hospital.According to the results of drug susceptibility to pathogenic bacteria,they were divided into group A(non-drug-resistant bacteria infection)and group B(drug-resistant bacteria infection).General clinical data and relevant clinical data were analyzed to explore the influencing factors of drug-resistant bacteria in elderly hospitalized CAP patients.Results According to univariate analysis,smoking history,annual hospitalization,long-term bed rest,history of poor medication,combined diabetes,and combined stroke were statistically significant in the two groups of patients(P<0.05).Multivariate analysis showed that smoking history(OR=3.214,P<0.05),number of hospitalizations per year(OR=2.647,P<0.05),long-term bed rest(OR=4.642,P<0.05),history of poor medication(OR=5.164,P<0.05),combined with diabetes(OR=2.665,P<0.05),combined with stroke(OR=3.165,P<0.05)were risk factors for elderly CAP hospitalized patients with drug-resistant bacteria infection.Conclusion There are many influencing factors in elderly hospitalized CAP patients with drug-resistant bacteria infection.Clinical prevention and intervention are of great value in reducing the elderly hospitalized CAP patients with drug-resistant bacteria.

关 键 词：老年 住院 社区获得性肺炎 耐药菌 影响因素 

分 类 号：R56[医药卫生—呼吸系统]