莆田地区社区获得性肺炎的细菌学探究

Bacteriological Study on Community Acquired Pneumonia in Putian

分析莆田地区社区获得性肺炎(CAP)病原学流行特征,收集252例莆田地区CAP患者痰液及肺泡灌洗液标本,采用传统培养与液态芯片法检测致病菌。结果:液态芯片法细菌检出率明显优于传统培养法;阳性菌中SP最多,阴性菌中PA最多;SM、PA、KP、AB对不同抗生素有一定的耐药率。结果表明:液态芯片法特异性强、灵敏度高,可快速明确致病菌;莆田地区CAP流行病学特点阳性菌中SP最多,阴性菌中PA最多;CAP细菌学流行特征可以用来指导临床用药。

The epidemiological characteristics of CAP in Putian were analyzed in this paper.The sputum and alveolar lavage fluid samples of 252 CAP patients in Putian were collected and the pathogenic bacterium was detected by traditional culture and liquid chip method.The detection rate of bacteria by liquid chip method was obviously better than that by traditional culture method;the most positive bacteria was SP and the most negative bacteria was PA.SM,PA,KP and AB have certain resistance rates to different antibiotics.The liquid chip method has strong specificity,high sensitivity and can quickly identify pathogenic bacteria.SP is the most positive bacteria and PA is the most negative bacteria in the epidemiological characteristics of CAP in Putian.The epidemiological characteristics of CAP can guide clinical medication.