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老年呼吸重症患者医院内感染临床分析
引用本文:叶振海,尤雷明,张烜舜,卢杰,桂敬敏. 老年呼吸重症患者医院内感染临床分析[J]. 临床肺科杂志, 2012, 17(2): 233-234
作者姓名:叶振海  尤雷明  张烜舜  卢杰  桂敬敏
作者单位:芜湖市第一人民医院ICU, 安徽芜湖,241000
摘    要:目的 观察老年呼吸重症患者医院内感染的病原菌分布特点.方法 分析2010年5月~2011年5月住院的69例老年呼吸重症患者的临床资料.结果 从69例患者的426份标本中分离出病原菌125株,其中G-杆菌占63.6%,G+球菌占21.1%,真菌占15.3%;G-杆菌以鲍曼氏不动杆菌多见,G+球菌以金黄色葡萄球菌多见,真菌以白色假丝酵母菌多见;病原菌来源多见依次为呼吸道、泌尿道、大静脉置管、消化道.结论 老年呼吸重症患者医院内感染病原菌以G-杆菌为主,主要存在于呼吸道.

关 键 词:病原菌  医院内感染  防控措施

Clinical analysis of nosocomial infection in senium patients with severe breathing diseases
Ye Zhen-hai , You Lei-ning , Zhang Xuan-shun , LU Jie , GUI Jing-min. Clinical analysis of nosocomial infection in senium patients with severe breathing diseases[J]. Journal of Clinical Pulmonary Medicine, 2012, 17(2): 233-234
Authors:Ye Zhen-hai    You Lei-ning    Zhang Xuan-shun    LU Jie    GUI Jing-min
Affiliation:The First people’s Hospital in the ICU of Wuhu city,China
Abstract:Objective To observe the pathogen distribution characteristics of nosocomial infection in older patients with severe breathing diseases,and hence to offer reference for prevention and treatment.Methods The clinical data were retrospectively analysed in 69 older patients with severe breathing diseases hospitalized from May 2010 to May 2011.Results 125 strains of pathogen were isolated from 426 specimens in the 69 patients,including pathogenic bacteria G-accounting for 63.6%,G+ accounting for 21.1%,fungal accounting for 15.3%;G-Bacilli were mainly bowman’s acinetobacter,G+ coccus showed more staphylococcus aureus,and fungi with white candida mycoderma;Bacteria originated from respiratory tract,urinary tract,and enteron.Conclusions The pathogen of nosocomial infection in older patients with severe breathing diseases were mainly G-Bacilli and mainly existed in respiratory.
Keywords:pathogen  inside-hospital infection  prevention and control measures
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