重症脑出血微创术后下呼吸道感染病原学分析

Etiology analysis respiratory tract Infection after the heavy cerebral hemorrhage mico operation

目的:重症脑出血微创术后气管切开病人痰培养病原菌分布与耐药情况分析,其院内感染发生的原因、探讨防治对策。方法:应用痰培养检出的病原菌及耐药性分析。结果:重症脑出血微创术后气管切开病人下呼吸道感染41例,其中G-杆菌26例占63.4%,G+球菌15例占36.6%,其中金葡菌11例,药敏仍以敏感菌株为主,但耐药菌株有增多趋势。结论:重症脑出血微创术后气管切开病人下呼吸道感染以G-杆菌为主,G+球菌以金葡菌为主,仍以敏感菌珠为主,耐药有增多趋势。万古霉素对G+球菌,氨曲南对G-杆菌敏感性较敏感,故在培养结果未出来之前经验用药是非常重要的。

Objective：To analyze germ distribution in heavy cerebral hemorrhage patients after micro operation with tracheotomy. Methods：Phlegm raising was used for bacteria drug resistance. Results： 41 patients had lower tract infection ,24 were G^- bacillus patients, accounted for 63.4%, 15 were G^＋ coccus, accounted for 36.6% , 11 were staphylococcus patients, bacteria drug resistance was higher among these patients. Conclusions： Patients with respiratory tract infection after the heavy cerebral hemorrhage micro operation often suffered lower tract infection, main bacteria was G^- bacillus, bacteria drug resistance was higher among these patients.