喉癌患者气管切开术后痰细菌培养与药敏分析

目的 指导喉癌患者术后合理选用抗生素，减少肺内感染。方法 对69例喉癌患者气管切开术后行痰细菌培养和药敏试验。结果 喉癌气管切开术后内痰细菌培养G-菌较G+多，大部分细菌对亚胺培南、美洛培南以及头孢哌酮/舒巴坦敏感，金黄色葡萄球菌仅对万古霉素敏感。结论 喉癌患者气管切开术后依据细菌学选择敏感抗菌素；同时需要加强呼吸道护理降低肺部感染率。

Pathogens in sputum in laryngeal cancer patients after tracheotomy

Objective To guide laryngeal cancer patients to rationally use antibiotics. Methods Bateria culturing was carried out in 69 isolates of laryngeal cancer following tracheotomy and the susceptibility to antibiotics was determined. Results There were much more Gram-negative bacteria than Gram-positive bacteria isolated from sputum cultures. Most of them were sensitive to Imipenem, Meropenem and Cefoperazone/sulbactam, while Staphylococcus aureus was only sensitive to Vancomycin. Conclusion Antibiotics should be reasonable used based on the drug sensitivity test. Also careful nursing following tracheotomy is important.