| 呼吸机相关肺炎的病原菌临床分布及耐药监测 |
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| 引用本文： | 莫柳军,谢朝欢,黄家宙. 呼吸机相关肺炎的病原菌临床分布及耐药监测[J]. 右江民族医学院学报, 2008, 30(1): 18-20 |
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| 作者姓名： | 莫柳军 谢朝欢 黄家宙 |
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| 作者单位： | 广西梧州市人民医院,广西,梧州,543000 |
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| 摘 要： | 目的探讨呼吸机相关性肺炎(VAP)的病原菌分布及其耐药性,为临床抗感染药物的正确应用提供参考。方法对呼吸科监护病房使用呼吸机的32例患者进行目标性监测,对病原学检查和细菌对抗生素耐药性结果进行回顾性分析。结果32例病人检出98株致病菌,其中革兰阴性菌占69.39%(68/98),革兰阳性菌占21.43%(21/98),真菌占9.18%(9/98);革兰阴性菌中铜绿假单胞菌(32.65%),肺炎克雷伯菌(16.33%),鲍曼不动杆菌(9.19%)为主要致病菌;革兰阳性菌中金黄色葡萄球菌(14.29%)占主导地位;念珠菌属仍为真菌感染的主要致病菌;致病菌对常用抗菌药的耐药性普遍升高。结论VAP的病原菌以革兰阴性菌占优势,铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌和鲍曼不动杆菌为RICU中VAP的主要致病菌,真菌感染的发生率不可忽视;致病菌耐药性升高,临床上应加强抗生素的合理使用。
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| 关 键 词： | 呼吸机相关性肺炎 病原 细菌 微生物敏感性试验 |
| 文章编号： | 1001-5817（2008）01-0018-03 |
| 收稿时间： | 2007-06-12 |
| 修稿时间： | 2007-06-12 |
Microbiology of ventilator-associated pneumonia pathogens |
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| MO Liu-jun,XIE Chao-huan,HUANG Jia-zhou. Microbiology of ventilator-associated pneumonia pathogens[J]. Journal of Youjiang Medical College For Nationalities, 2008, 30(1): 18-20 |
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| Authors: | MO Liu-jun XIE Chao-huan HUANG Jia-zhou |
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| Affiliation: | MO Liu-jun XIE Chao-huan HUANG Jia-zhou (Wuzhou People's Hospital,Wuzhou,Guangxi 543000,China) |
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| Abstract: | Objective To examine the categories of ventilator-associated pneumonia(VAP)pathogens and their drug-resistance so as to provide evidence for clinical rational use of antibiotics.Methods 32 patients hospi- talized in respiratory intensive care unit receiving ventilator respiration treatment were targetedly monitored.The mi- crobial sensitivity tests and antibiotic test results were retrospectively analyzed.Results 98 pathogens were isolated from 32 patients,of which Gram-negative bacteria occupying 69.39%(68... |
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| Keywords: | ventilator- associated pneumonia pathogen bacteria microbial sensitivity tests |
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