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老年多重耐药菌尿路感染患者细菌耐药特性及护理
引用本文:刘英,刘培跃,张龙. 老年多重耐药菌尿路感染患者细菌耐药特性及护理[J]. 齐鲁护理杂志, 2011, 17(26): 19-21
作者姓名:刘英  刘培跃  张龙
作者单位:枣庄矿业集团中心医院,山东,枣庄,277011
摘    要:
目的:探讨老年尿路感染患者多重耐药菌(MDR)分布状况、细菌耐药特性及其相应护理措施。方法:对从73例老年尿路感染患者中分离的76株MDR研究分布特征、耐药特性并给予针对性护理。结果:76株MDR中革兰阴性杆菌占78.9%,革兰阳性菌占21.1%,所有细菌均有较强耐药性,其中革兰阴性杆菌MDR对亚胺培南西司他丁钠(IMP/CS)、头孢哌酮/舒巴坦(CFP/SU)、哌拉西林/他唑巴坦(PIP/TZ)耐药率最低,但部分药物出现耐药或中介;嗜麦芽寡氧菌对IMP/CS完全耐药,鲍曼不动杆菌、铜绿假单胞菌对IMP/CS耐药率达到33.3%、38.5%;革兰阳性球菌MDR主要以凝固酶阳性葡萄球菌和肠球菌为主,对万古霉素完全敏感,对利福平、氯霉素耐药性较低。结论:老年患者尿路感染MDR以革兰阴性杆菌为主,所有MDR耐药性均较强,仅对少数抗生素敏感。须重视MDR感染问题,加强针对性护理,以确保患者顺利康复。

关 键 词:尿路感染  多重耐药菌  耐药特性  护理

Characteristics of drug-resistance of bacteria in elderly patients with urinary tract infection induced by MDR bacteria and nursing care
Liu Ying,Liu Pei-yue,Zhang Long. Characteristics of drug-resistance of bacteria in elderly patients with urinary tract infection induced by MDR bacteria and nursing care[J]. Journal of Qilu Nursing, 2011, 17(26): 19-21
Authors:Liu Ying  Liu Pei-yue  Zhang Long
Affiliation:Liu Ying,Liu Pei-yue,Zhang Long (Central Hospital of Zaozhuang Mining Group,Zaozhuang Shandong 277011,China)
Abstract:
Objective: To explore the distribution of multi-drug resistant(MDR) bacteria and their characteristics in elderly patients with urinary tract infection and the appropriate nursing measures.Methods: 76 strains of MDR bacteria isolated from 73 elderly patients with urinary tract infections were studied to find out the distribution and their characteristics,and then the patients were given the targeted nursing care.Results: In 76 strains of MDR bacteria,gram-negative bacilli accounted for 78.9% and gram-positi...
Keywords:Urinary tract infection  Multi-drug resistant bacteria  Characteristics of drug-resistance  Nursing  
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