摘要
目的:探讨小儿重症肺炎常见细菌种类、耐药性以及治疗对策。方法:研究2008年1月至2010年12月入住我院儿童重症监护室(pediatric intensive care unit,PICU)的重症肺炎合并多器官功能衰竭患者203例全部应用呼吸机治疗,上机后72 h内,气管导管内吸痰连做3次细菌培养(阳性做药敏试验),连续2次以上相同细菌者认定为该病原菌感染。结果:195例2次以上相同细菌被纳入本次研究中,前4位的细菌为:肺炎克雷伯菌54/195(27.69%),大肠埃希菌48/195(24.61%),金黄色葡萄球菌42/195(21.54%),铜绿假单胞菌32/195(16.92%),前4位的细菌总和176/195(90.25%)。结论:PICU应采取行之有效的干预对策,控制细菌耐药性迅速增长的不良趋势。
Objective:To analyze the bacterial pathogens and the antimicrobial susceptibility in patient with severe pneumonia.Methods:Bacterial pathogens and the antimicrobial susceptibility of severe pneumonia in patients from PICU of Maternal and Child Health Hospital of Bao'an District from Jan.2008 to Dec.2010 were retrospectively analyzed.Results:Among 195 strains of pathogens causing nosocomial infection,the top four pathogens were Klebsiella pneunmoniae,Escherichia col I,Staphylococcus aureus and Pseudomonas aeruginosa,and accounting for 27.69 %,24.61 %,21.54 %,16.92%.The serious antimicrobial resistance of commonly used antibiotics occurred in pathogens.Conclusion:The effective intervention strategy should be adopted to control the increasing tendency of bacterial drug resistance.
出处
《沈阳医学院学报》
2011年第3期142-144,共3页
Journal of Shenyang Medical College
关键词
重症肺炎
细菌
耐药性
severe pneumonia
bacteria
resistance