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儿童感染菌与呼吸机相关性肺炎的病原菌谱分析
引用本文:罗雁红,许峰,曾佑群,金沙涛,李静,匡凤悟,卢仲毅. 儿童感染菌与呼吸机相关性肺炎的病原菌谱分析[J]. 重庆医科大学学报, 2005, 30(5): 725-727,730
作者姓名:罗雁红  许峰  曾佑群  金沙涛  李静  匡凤悟  卢仲毅
作者单位:重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014;重庆医科大学儿童医院PICU,重庆,400014
摘    要:目的:了解儿童感染菌和呼吸机相关性肺炎(VAP)的病原菌谱及致病相关因素.方法:对我院2002年各类送检的培养标本和31例机械通气患儿资料进行总结分析.结果:全院儿童感染细菌的构成比中G 球菌所占比例45.5%,G杆菌占53.0%,PICU病房感染菌分布G杆菌明显增加,占88.5%,G 球菌仅占7.4%,VAP感染菌分别以铜绿假单胞菌,鲍曼不动杆菌,真菌占前3位.结论:G杆菌已成为ICU和VAP的优势菌群,对临床常用抗生素均有多重耐药现象.

关 键 词:病原菌谱  呼吸机相关性肺炎  感染
文章编号:0253-3626(2005)05-0725-03
收稿时间:2005-03-11
修稿时间:2005-03-11

Bacterial spectrum anlysis of ventilator-associated pneumonia and children infectious diseases
LUO Yanhong, et al. Bacterial spectrum anlysis of ventilator-associated pneumonia and children infectious diseases[J]. Journal of Chongqing Medical University, 2005, 30(5): 725-727,730
Authors:LUO Yanhong   et al
Abstract:Objective:To investigate the bacterial spectrum of ventilator-associated pneumonia and children bacterial infection.Methods:Specimens cultured for bacteria isolated from in patients with sucpectail bacterial infection and 31 cases with mechanical ventilator during 2002 were analysed.Results:Gram positive cocci counted for 45.5%,and gram negative bacilli counted for 53%,while gram positive cocci counted for 7.4%,and gram negative bacilli counted for 88.5% in PICU.The main organisms with VAP were Pseudomonas aeruginosa,Acinetobacter baumannii and fungus.Conclusion:Gram negative bacilli have become the major pathogens in PICU and caused VAP,which put up multi-resistance to most commonly used antibiotics.
Keywords:Bacterial spectrum   Ventilator-associated pneumonia   Infection
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