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急诊重症监护室细菌性肺炎病原菌分类及耐药性分析
引用本文:夏新宇,丁娴,梁文启,王美堂,何建. 急诊重症监护室细菌性肺炎病原菌分类及耐药性分析[J]. 临床急诊杂志, 2022, 23(1): 38-41
作者姓名:夏新宇  丁娴  梁文启  王美堂  何建
作者单位:海军军医大学第三附属医院急诊科 上海,201805;海军军医大学第一附属医院急诊科
摘    要:目的:分析急诊重症监护室细菌性肺炎患者病原菌分类及耐药情况,指导细菌性肺炎的抗感染策略.方法:选取2018年1月-2019年11月期间入住海军军医大学第三附属医院急诊重症监护室的161例痰培养阳性的细菌性肺炎病例,分析检出细菌的种类及药敏情况.结果:检出致病菌中以革兰阴性菌为主(80.9%),菌群分布与同时间一些研究不...

关 键 词:细菌性肺炎  急诊重症监护室  多重耐药菌  耐药性

Analysis of pathogens and drug-resistance of bacterial pneumonia in emergency intensive care unit
XIA Xinyu,DING Xian,LIANG Wenqi,WANG Meitang,HE Jian. Analysis of pathogens and drug-resistance of bacterial pneumonia in emergency intensive care unit[J]. Journal of Clinical Emergency Call, 2022, 23(1): 38-41
Authors:XIA Xinyu  DING Xian  LIANG Wenqi  WANG Meitang  HE Jian
Affiliation:(Department of Emergency,the Third Affiliated Hospital of Naval Medical University,Shanghai,201805,China;Department of Emergency,the First Affiliated Hospital of Naval Medical University)
Abstract:Objective: To study and analyze pathogens and drug-resistance in patients with bacterial pneumonia in emergency intensive care unit(EICU), guiding the anti-infection strategy of bacterial pneumonia. Methods: A total of 161 sputum culture-positive bacterial pneumonia patients admitted to the EICU of the Third Affiliated Hospital of Naval Medical University from January 2018 to November 2019 were selected to analyze pathogens and drug-resistance. Results: Gram-negative bacteria(80.9%) were the main pathogenic bacteria. Multi-drug resistant organisms(MDRO) were common and had high resistance to commonly used antibiotics. Conclusion: The pathogenic bacteria of the patients in the EICU bear certain resistance to empirical anti-infective treatment strategies. Understanding the classifications of pathogenic bacteria and the characteristics of drug-resistance is beneficial to develop a more effective anti-infection strategy.
Keywords:bacterial pneumonia  emergency intensive care unit  multi-drug resistant organisms  drug-resistance
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