呼吸机相关肺炎114例病原菌及药敏分析

    Characteristics of pathogens and bacterial susceptibility in ventilator-associated Pneumonia: A report of 114 cases

    • 摘要: 目的: 了解呼吸机相关肺炎(VAP)的病原菌及其药敏情况。方法: 调查我院2001~2002年收治的114例VAP患者的病原菌及药敏结果。结果: VAP患者的细菌感染为革兰阴性杆菌60。6%,革兰阳性球菌22。8%,真菌15。7%,革兰阴性球菌0。8%。其中以铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌和真菌最为多见。超广谱β-内酰胺酶33。3%,耐甲氧西林金黄色葡萄球菌30。0%。结论: VAP的细菌耐药率较高,在治疗VAP时应重视病原菌的培养,以便根据药敏结果合理使用抗生素。

       

      Abstract: Objective: To investigate the characteristics of pathogens and bacterial susceptibility in ventilator-associated pneumonia(VAP).Methods: The clinical characteristics of aetiological germ and bacterial susceptibility in 114 patients with VAP who were treated in our hospital from 2001 to 2002 were reviewed.Results: Gram-negative bacillus (GNB) accounted for 60.6%, Gram-positive coccus (GPC) 22.8%, fungi 15.7% and Gram-negative coccus (GNC) 0.8% among the cultivated aetiological bacteria.The main microorganisms were pseudomonas aeruginosa,staphylococcus aureus and Escherichia coli.Extended stectrum β lactamases accounted for 33.3% and methicillin resistant staphylococcus aureus 30.0%.Conclusions: The bacterum of VAP has high tolerance of drugs.More attention should be paid to the cultivateion of aetiological bcteria and selection of antibiotics in the treatment of VAP.

       

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