98例住院患者痰细菌培养结果分析

98 patients hospitalized patients sputum bacterial training result analysis

目的了解住院患者呼吸道感染病原菌分布及细菌耐药情况。方法对98例住院患者的病种及痰细菌培养结果进行统计和分析。结果 98例呼吸道感染患者以慢性阻塞性肺疾病为主,合并症包括肺心病、肺炎、呼衰、高血压病、冠心病、肾功不全、营养不良等。98例患者共计做痰培养109次,细菌培养阳性54例,阳性率为49.54%。致病菌检出例数从高到低为铜绿(少动)假单胞菌,白色(热带)念珠菌,肺炎(产酸)克雷伯杆菌,流感嗜血杆菌,大肠埃希氏菌,曲霉菌为主。细菌药物敏感试验提示革兰阴性杆菌对碳青酶烯类、加酶抑制剂、四代头孢敏感,对常用的一代、二代有较高耐药率。结论加强细菌监测,及时掌握耐药性的变迁,合理使用抗生素是治疗住院患者呼吸道感染和预防耐药的根本措施。

Objective Understand the hospital patients respiratory infections pathogenic bacteria distribution and drug resistance of bacteria.Methods 98 cases of patients hospitalized in the diseases and sputum bacterial cultures statistics and analysis results.Results 98 cases of respiratory tract infection in patients with chronic obstructive pulmonary disease was given priority to,complications including lung,pneumonia,call failure,hypertension,coronary heart disease,kidney function not whole,malnutrition.98 patients with a total of 109 times do sputum cultures,germiculture positive of 54,positive rate was 49.54%.Pathogenic bacteria detection number from high to low for p.（less dynamic） pseudomonas,white（tropical） monilia,pneumonia（produce acid） clay bacteria,and haemophilus influenzae,escherichia coli strains,aspergillus primarily.Bacterial drug sensitivity tests tip gram-negative bacilli on carbon green enzyme of alkenes,add enzyme inhibitors,four generations cephalosporins sensitive to the commonly used one generation,the second generation have a higher rate.Conclusion Strengthen the monitoring of the bacteria,to grasp the changes of the resistance,the reasonable use of antibiotics is the treatment hospital patients respiratory infections and prevent resistance of the fundamental measures.