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陈中俊1 彭易根1 石岩1 刘刚2 韩秋1 杜叶平1△.重症监护病房呼吸机相关性肺炎病原学以及耐药性分析[J].,2012,12(6):1118-1121
重症监护病房呼吸机相关性肺炎病原学以及耐药性分析
Intensive Care Unit Ventilator-Associated Pneumonia Etiology,and Drug Resistance
  
DOI:
中文关键词: 重症监护室  呼吸机  肺炎  耐药性
英文关键词: Intensive care unit  Ventilator  Pneumonia  Resistance
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作者单位
陈中俊1 彭易根1 石岩1 刘刚2 韩秋1 杜叶平1△ 江苏省淮安市第二人民医院重症医学科 
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中文摘要:
      目的:探讨重症监护病房呼吸机相关性肺炎病原学以及耐药性。方法:对我院2007 年2 月-2011 年7 月ICU 内出现呼吸机 相关性肺炎的患者99 例作为研究对象,并对取痰液标本进行病原学以及耐药性分析。结果:革兰阴性菌的检出明显高于其他菌 属,在G- 杆菌中铜绿假单胞菌以及大肠埃希菌最为常见,G+ 球菌中以金黄色葡萄球菌以及肺炎链球菌最为常见;所有菌属均对 常规抗菌药物有一定的耐药性,但其对万古霉素的敏感性仍然较高。结论:加强对ICU 呼吸机相关肺炎进行分离致病菌并对其进 行耐药性检测,以指导合理使用抗菌药物,有助于改善患者预后。
英文摘要:
      Objective: To investigate the intensive care unit ventilator-associated pneumonia etiology, and drug resistance.Methods: The hospital in February 2007 July 2011 appear in ICU ventilator-associated pneumonia in patients with 99 cases for the study, and sputum specimens of the etiology and to take drug resistance. Results: The detection of Gram-negative bacteria was significantly higher than other species, the G-bacteria Pseudomonas aeruginosa and Escherichia coli is the most common, G+cocci Staphylococcus aureus and Streptococcus pneumoniae is the most common; all species are on conventional antibiotics have some resistance, but its sensitivity to vancomycin remains high. Conclusion: To strengthen the ICU ventilator-associated pneumonia pathogens were isolated and its resistance testing to guide the rational use of antibiotics, help to improve the prognosis of patients.
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