2016年某院尘肺病住院患者微生物检测的分析

Analysis of microbiological examination of patients with pneumoconiosis in a hospital in 2016

目的分析2016年广东省职业病防治院尘肺病住院患者微生物感染现状,为治疗提供有益参考。方法选择2016收治的193例尘肺患者,其中男性187例,女性6例,年龄26~62岁,平均47.16岁。通过尘肺病患者痰液培养进行微生物检测。结果送检至实验室患者痰液标本193份,共检出3例患者含有病原菌,病原菌为4种,阳性率为1.55%;革兰阳性球菌阳性6例,阳性率占3.10%;真菌检测出2例阳性,阳性率为1.03%。革兰阴性杆菌以黏质沙雷菌、肺炎克雷伯菌、产气肠杆菌、阴沟肠杆菌为主。结论尘肺病患者的免疫功能低下,更容易发生肺部感染,所以尘肺病治疗中应注意控制肺部感染,对尘肺病患者进行微生物检测十分必要。

Objective To study the status of microbial infection of pneumoconiosis patients in Guangdong Hospital of Occupational Diseases Treatment and Prevention in 2016, and to provide a useful reference for treatment. Methods 193 patients with pneumoconiosis admitted to our hospital in 2016 were selected, including 187 male patients , 6 female patients, and at the age of the year of 26 to 62 （mean 47.16）. Microbes were tested by sputum culture in pneumoconiosis patients. Results 193 sputum specimens of patients were detected in laboratory, a total of 3 patients were identified as pathogens with 4 kinds, the positive rate was 1.55%; Gram-positive cocci were positive in 6 cases, the positive rate was 3.10%, and the fungi were detected in 2 cases, the positive rate was 1.03%. Gram-negative bacilli mainly included Serratia marcescens, Klebsiella pneumonia, Enterobacter aerogenes, Enterobacter cloacae. Conclusion It is easy to be infected for patients with pneumoconiosis because of a lower immune function, so the treatment of pneumoconiosis should control lung infection, and microbial detection is very necessary.