院内获得性肺炎30例临床分析

目的探讨院内获得性肺炎的发病情况、发病诱因、细菌耐药性以及影响预后的因素。方法回顾性分析30例院内获得性肺炎的临床资料。结果在30例院内获得性肺炎中,痰培养阳性24例,阳性率80%,绿脓杆菌9例(30%),肺炎克雷伯杆菌8例(26.7%);药物敏感试验发现绿脓杆菌及克雷伯杆菌对多种抗生素产生耐药性增加。经综合治疗后,死亡12例(40%),治愈9例(30%),好转9例(30%)。结论院内获得性肺炎多有严重的慢性基础疾病和诱因,绿脓和克雷伯杆菌感染死亡率高,且细菌多为耐药菌株。

Clinical Analysis of Hospital Acquired Pneumonia: a Report of 30 Cases

Objective To explore the condition,the predisposing factors and the bacterial drug resistance of hospital acquired pneumonia(HAP),and the relative factors with the prognosis.Methods The clinical data of30cases with HAP were analyzed retrospectively.Results The sputum culture appeared positive in24cases(80%).The infection rate of the pseudomonas aeruginosa and the klebsiella pneumoniae was30%(9cases)and26.7%(8cases)respectively.The drug resistance of the pseudomonas aeruginosa and the klebsiella pneumoniae to a great variety of antibiotic increased.After combined therapy,12cases(40%)were dead,9cases(30%)were cured,and9cases(30%)were improved.Conclusions HAP patients often have severe chronic diseases and causative factor.The death rates of the patients infected with pseudomonas aeruginosa and klebsiella pneumoniae is high,and the bacterial are mostly the drug resistant strains.