| 老年急性脑卒中患者并发肺部感染病原学及药敏分析 |
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| 引用本文： | 陈洁芳,邬至平,邱伟文.老年急性脑卒中患者并发肺部感染病原学及药敏分析[J].中华医院感染学杂志,2011,21(1):172-174. |
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| 作者姓名： | 陈洁芳 邬至平 邱伟文 |
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| 作者单位： | 温州医学院附属第五医院丽水市中心医院神经内科,浙江,丽水,323000 |
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| 摘 要： | 目的探讨老年急性脑卒中患者并发肺部感染的病原学特点、药物敏感及耐药性,为临床治疗提供依据。方法前瞻性采用ATB鉴定法和药敏测试仪检测老年急性脑卒中患者并发肺部感染痰培养细菌学及药物敏感特性。结果 758例老年急性脑卒中患者中肺部感染率为34.7%,分离病原菌322株,其中革兰阴性菌占75.5%,以肺炎克雷伯菌为主,对头孢哌酮/舒巴坦最敏感;革兰阳性菌占15.5%,以金黄色葡萄球菌为主,对利奈唑胺、万古霉素最敏感;真菌占9.0%,对氟康唑最敏感。结论老年卒中患者肺部感染率高,应积极预防感染,加强病原学监测,合理选用抗菌药物。
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| 关 键 词： | 脑卒中 肺部感染 病原学 |
Pathology of complicated pulmonary infection in patients with acute stroke and drug sensitivity |
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| CHEN Jie-fang,WU Zhi-ping,QIU Wei-wen.Pathology of complicated pulmonary infection in patients with acute stroke and drug sensitivity[J].Chinese Journal of Nosocomiology,2011,21(1):172-174. |
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| Authors: | CHEN Jie-fang WU Zhi-ping QIU Wei-wen |
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| Institution: | CHEN Jie-fang,WU Zhi-ping,QIU Wei-wen(The Fifth Affiliated Hospital of Wenzhou Medical College,Lishui Cental Hospital,Lishui,Zhejiang 323000,China) |
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| Abstract: | OBJECTIVE To explore the characteristics of drug resistance of the pathogens in elderly patients after acute stroke associated with pulmonary infection,so as to offer evidences for the clinical treatment.METHODS In a prospective study,263 elderly patients after acute stroke associated with pulmonary infection.ATB Expression approach was applied to test the bacterial strains in phlegm bacterial culture and also used antimicrobial susceptibility test instrument to analyze the antimicrobial susceptibility.RESU... |
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| Keywords: | Stroke Pulmonary infection Pathology |
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