鲍曼不动杆菌肺部感染407例临床分析

目的探讨鲍曼不动杆菌肺部感染的临床特点。方法回顾性分析407例鲍曼不动杆菌肺部感染患者的症状、体征、肺部影像学改变、细菌耐药现状及治疗转归等。结果鲍曼不动杆菌肺部感染的临床表现缺乏特征性;肺部X线影像学变化以小片状浸润影多见（占85.0%）;鲍曼不动杆菌对常用抗生素的耐药率为5.2%～89.8%;患者住院病死率为16.5%。结论临床上应警惕鲍曼不动杆菌所引起的肺部感染,重视病原菌及其耐药率监测。

Clinical analysis of 407 patients with pulmonary Infection caused by acinetobacter baumannii

Objective To investigate the clinical characteristics of pulmonary infection caused by Acinetobacter baumannii. Methods Analysis of 407 cases of Acinetobacter baumannii infection in patients with pulmonary symptoms and signs, pulmonary imaging changes in the status and treatment of drug-resistant bacteria, such as vesting. Results Acinetobacter baumannii infection in the lungs lack of characteristic clinical manifestations. Most X-ray imaging of chest show small opacity （85.0%）. Acinetobacter banmannii resistance to commonly used antibiotics was 5.2%- 89.8%, and the case fatality rate was 16.5%. Conclusion Pulmonary infection caused by Acinetobacter baumannii in patients should be alert. Importance of such patients with drug-resistant pathogens and the rate of monitoring.