某院老年患者下呼吸道感染病原菌构成及耐药性分析

Under old age patient respiratory infections disease germ constitution and drug resistance analysis

目的:监测老年患者下呼吸道感染常见病原菌种类,分析其对抗菌药物的耐药情况,为临床合理用药提供依据。方法:对我院2001年10月至2007年9月间,住院及门诊下呼吸道感染的老年患者合格痰标本进行细菌学培养。结果:共分离出病原菌489株,其中革兰氏阴性杆菌243株,占49.7%,革兰氏阳性球菌144株,占29.4%,真菌102株,占20.9%。大肠埃希菌对亚胺培南耐药率最低为2.8%,其次是阿米卡星。表皮葡萄球菌对万古霉素100%敏感、利福平的耐药率也较低,为19.0%。结论:根据药敏结果,合理选择抗生素对老年患者下呼吸道感染治疗具有重要意义。

Under the goal monitor old age patient the respiratory infections common disease germ type,analyzes it to bear the medicine situation to the antibiotics,provides the basis for the clinical reasonable medication.The method to my courtyard on October 1,2001～2007 year in September 30 during the day,in hospital and the outpatient service under respiratory infections' old age patient qualified phlegm specimen carried on the bacteriology raise.The result is divided separates out disease germ 489, Gelanshi negative bacillus 243,account for 49.7%,Gelanshi masculine coccus 144,account for 29.4%,fungus 102,accounts for 20.9%.Soudi large intestine Egypt hopes the fungus to cultivate to the imines bears the medicine rate lowly is 2.8%,next is the Arab League Mica star.The epidermis staphylococcus to the eternal mildew 100%sensitive,the rifampin bears the medicine rate to be also low,is 19.0%.Conclusion clinician should act according to the medicine sensitive result,chooses the antibiotic reasonably.Does not need to pursue constandy is high,is new.