| 耐碳青霉烯类鲍氏不动杆菌所致老年患者医院获得性肺炎分析 |
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| 引用本文： | 夏静静,方向群. 耐碳青霉烯类鲍氏不动杆菌所致老年患者医院获得性肺炎分析[J]. 中华医院感染学杂志, 2011, 21(21): 4589-4591 |
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| 作者姓名： | 夏静静 方向群 |
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| 作者单位： | 解放军总医院南楼呼吸科,北京,100853 |
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| 摘 要： | 目的分析耐碳青霉烯类鲍氏不动杆菌(CRAB)所致老年患者医院获得性肺炎的临床特点。方法对2008年1月-2011年3月,CRAB所致老年患者医院获得性肺炎63例进行回顾性分析。结果 CRAB所致老年患者医院获得性肺炎多发生在有基础疾病患者,经头孢哌酮/舒巴坦或含有头孢哌酮/舒巴坦抗菌药物组合治疗的患者,30d存活率为94.44%,显著高于经其他抗菌药物治疗患者的70.37%(P<0.05);死亡患者APACHEⅡ评分为(24.78±4.35)分,显著高于存活患者的(18.32±6.92)分,差异有统计学意义(P<0.05)。结论头孢哌酮/舒巴坦治疗老年患者CRAB医院获得性肺炎有一定疗效,APACHEⅡ评分与老年患者CRAB医院获得性肺炎预后有关。
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| 关 键 词： | 医院获得性肺炎 鲍氏不动杆菌 耐碳青霉烯类 老年患者 |
Analysis of hospital-acquired pneumonia caused by carbapenem-resistant Acinetobacter baumannii in elderly patients |
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| XIA Jing-jing,FANG Xiang-qun. Analysis of hospital-acquired pneumonia caused by carbapenem-resistant Acinetobacter baumannii in elderly patients[J]. Chinese Journal of Nosocomiology, 2011, 21(21): 4589-4591 |
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| Authors: | XIA Jing-jing FANG Xiang-qun |
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| Affiliation: | XIA Jing-jing,FANG Xiang-qun (General Hospital of PLA,Beijing 100853,China) |
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| Abstract: | OBJECTIVE To summarize the clinical characteristics of hospital-acquired pneumonia(HAP) caused by Carbapenem-resistant Acinetobacter baumannii(CRAB) in elderly patients. METHODS A retrospective study was conducted in elderly patients suffering from HAP caused by CRAB from Jan 1,2008 to Mar 30,2011. RESULTS HAP caused by CRAB in elderly often occurred in patients complicated with other diseases.The 30-day survival rate of patients treated with cefoperazone/sulbactum or cefoperazone/ sulbactum-containing anti... |
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| Keywords: | Hospital-acquired pneumonia Acinetobacter baumannii Carbapenem-resistant Elderly |
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