| 重症监护病房呼吸机相关肺炎的临床分析 |
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| 引用本文： | 彭博,张中,鹿英英. 重症监护病房呼吸机相关肺炎的临床分析[J]. 临床和实验医学杂志, 2011, 10(15): 1157-1159 |
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| 作者姓名： | 彭博 张中 鹿英英 |
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| 作者单位： | 北京丰台医院(桥南部)重症医学科,北京,100071 |
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| 摘 要： | 目的分析重症监护病房呼吸机相关肺炎(VAP)病原菌特点及耐药性,便于控制VAP。方法对2010年4月至2011年3月重症医学科确诊的VAP患者分离到的病原菌进行鉴定并用纸片扩散法进行药物敏感试验。结果 132例机械通气的患者发生VAP 61例(46.21%);共分离出157株病原菌。其中,革兰阴性菌占68.9%,革兰阳性菌占26.1%,真菌占5.0%。位于前6位的病原菌依次为铜绿假单胞菌、鲍曼不动杆菌、大肠埃希杆菌、肺炎克雷伯菌、金黄色葡萄球菌及白色念珠菌。亚胺培南对革兰阴性菌有很好的敏感性。结论革兰阴性菌是重症监护病房VAP的主要病原菌,且存在严重耐药现象。临床医师应对VAP制定全面的预防策略并进行综合管理,同时根据药敏试验结果合理使用抗生素,及时、有效地治疗VAP。
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| 关 键 词： | 呼吸机相关性肺炎 重症监护病房 病原菌 耐药性 |
Clinical study on ventilator-associated pneumonia in intensive care unit |
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| PENG Bo,ZHANG Zhong,LU Ying-ying. Clinical study on ventilator-associated pneumonia in intensive care unit[J]. Journal of Clinical and Experimental Medicine, 2011, 10(15): 1157-1159 |
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| Authors: | PENG Bo ZHANG Zhong LU Ying-ying |
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| Affiliation: | PENG Bo,ZHANG Zhong,LU Ying-ying.Intensive Care Unit,Beijing Fengtai Hospital(South Division),Beijing 100071,China. |
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| Abstract: | Objective To study the characteristics and resistance of pathogens in ventilator-associated pneumonia(VAP) in ICU in order to effectively control VAP.Methods The pathogens of VAP isolated from patients with VAP in this department during the period of April 2010 to March 2011 were characterized,and their drug susceptibility was examined by disk diffusion method.Results VAP had been occurred in 61 of 132 cases with mechanical ventilation(46.21%);and 157 strains were isolated.Among them,Gram-negative bacteria ... |
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| Keywords: | Ventilator-associated pneumonia ICU Pathogens Resistance |
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