非ICU院内获得性肺炎126例临床分析

Clinic analysis on 126 cases of hospital acquired pneumonia in non-ICU.

目的研究非ICU病人院内获得性肺炎的发病率、易患因素、病原学。方法对临床确认的126例院内获得性肺炎临床资料进行回顾性分析。结果非ICU病人院内获得性肺炎以内科常见,主要为老年人,大部分合并基础疾病,但发病率要低于ICU病人,病原体以G-菌居多,但G+菌比例增高。结论要加强对危险因素的控制,注意内科普通病房HAP的革兰氏阳性菌感染。

Objective To investigate the morbility, liability factors and aetiology of patients with hospital acquired pneumonia （HAP） in non-ICU. Methods The data of 126 cases with hospital acquired pneumonia were retrospective analyzed. Results The incidence rate of patients with hospital acquired pneumonia in non-ICU were lower than that in ICU. The patients with HAP emerged frequently in the department of medicine, and appeared mainly in aged people with other concurrent disease. It was detected mainly gram negative bacteria but the proportion of gram positive bacteria was increasing. Conclusion Clinicians should give attention to control the liability factors on HAP and Infect with the HAP of gram positive bacteria in the common room.