首页 | 本学科首页   官方微博 | 高级检索  
     

42例老年人院内获得性肺炎的临床分析
引用本文:徐轶,符礼刚,朱砚萍,顾美娣,朱惠莉. 42例老年人院内获得性肺炎的临床分析[J]. 老年医学与保健, 2005, 11(2): 105-107
作者姓名:徐轶  符礼刚  朱砚萍  顾美娣  朱惠莉
作者单位:200040,上海市,华东医院呼吸科;200040,上海市,华东医院呼吸科;200040,上海市,华东医院呼吸科;200040,上海市,华东医院呼吸科;200040,上海市,华东医院呼吸科
摘    要:目的初步探讨老年人院内获得性肺炎的易患因素,常见细菌及药敏,从而为更有针对性的治疗提供依据。方法回顾性总结分析我院2004年1月至6月住院的老年患者院内肺炎的发病情况、易患因素、常见致病菌和药物敏感情况。结果我院内科病房老年人院内获得性肺炎的发生率为27.5%,肺炎发生者多合并多种基础疾病,其中COPD比例最高,占71.4%,其次分别为心衰(50.0%)、糖尿病(31.1%)和脑血管疾病(35.7%)。老年人医院获得性肺炎的病原菌以革兰阴性杆菌为主,占82.8%。细菌的分离率从高到低依次为铜绿假单胞菌、鲍曼不动杆菌、肺炎克雷伯杆菌、大肠埃希菌等。从药敏结果看,铜绿假单孢菌对多种抗生素的敏感率均较低,大肠埃希氏菌和肺炎克雷伯杆菌对除亚胺培南/西司他汀外的多种抗生素的敏感性也较低。结论老年人院内获得性肺炎的一些特点:多伴有多种基础疾病如COPD,心脑血管疾病,肾功能衰竭,恶性肿瘤;多伴有侵入性操作如胃管,导尿管,深静脉穿刺导管;引起老年人院内获得性肺炎的病原菌仍以革兰阴性杆菌为主,以铜绿假单胞菌最多。值得注意的是,多重耐药菌的比例不断增加,这与广谱抗生素的过度应用有关。

关 键 词:交叉感染  肺炎  假单胞菌  铜绿  微生物敏感性试验
文章编号:1008-8296(2005)-02-0105-03
修稿时间:2005-02-14

NOSOCOMIAL PNEUMONIA IN THE ELDERLY: A CLINICAL ANALYSIS
Xu Yi,Fu Ligang,Zhu Yanping,Gu Meidi,Zhu Huili. NOSOCOMIAL PNEUMONIA IN THE ELDERLY: A CLINICAL ANALYSIS[J]. Geriatrics & Health Care, 2005, 11(2): 105-107
Authors:Xu Yi  Fu Ligang  Zhu Yanping  Gu Meidi  Zhu Huili
Affiliation:Xu Yi,Fu Ligang,Zhu Yanping,Gu Meidi,Zhu Huili Department of Respiratory Medicine,Huadong Hospital,Shanghai 200040,China
Abstract:Objective To explore the risk factors, common bacteria and their susceptibility of nosocomial pneumonia in elderly. Methods Retrospective survey were performed about the nosocomial pneumonia in elderly from 01/2004-06/2004. Results The incidence of nosocomial pneumonia in elderly was 27.5%, the elderly who developed nosocomial pneumonia usually had basic diseases, such as COPD (71.4%);heart failure(50.0%);diabetes mellitus(31.1%) etc. The main nosocomial pathogens were gram-negative bacilli, include Pseudomonas aeruginosa; Baumannii acinetobacter; Klebsiella pneumoniae and Escherichia coli. Pseudomonas aeruginosa had a poor sensitivity to all antibiotics; Klebsiella pneumoniae and Escherichia coli also had poor sensitivity to antibiotics except imipenem. Conclusions The elderly who developed nosocomial pneumonia usually have basic diseases, such as COPD; heart failure; diabetes mellitus ect. The main pathogens are gram-negative bacilli, especially Pseudomonas aeruginosa. Drug sensitivity test indicates that drug-resistant bacteria are increasing, this may be related to the overuse of antibiotics.
Keywords:Cross infection  Pneumonia  Pseudomonas aeruginosa  Microbial sensitivity tests
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号