基层医院社区获得性肺炎患者的病原学分布情况及其常见细菌的耐药性分析

Pathogenic distribution of communityacquired pneumonia patients in primary hospitals and drug resistance analysis of common bacteria

目的 分析基层医院社区获得性肺炎患者的病原学分布情况及其常见细菌的耐药性.方法 选取本院收治的400例获得性肺炎患者为试验对象,且均进行痰培养病原学检测.结果 从病原菌分布角度分析,400例基层医院社区获得性肺炎患者,经病原学检测,72例存在致病性病原菌感染,52例(72.22%)存在单一感染,20例(27.78%)存在混合感染,在单一感染中,最常见的为肺炎支原体,在混合感染中,最为常见的为其他两种病原菌;从药敏结果 角度分析,肺炎克雷伯菌对亚胺培南、头孢呲肟、头孢他啶具有较高的敏感性;肺炎链球菌对加替沙星、莫西沙星、青霉素、阿莫西林具有较高的敏感性;肺炎支原体对左氧氟沙星、莫西沙星、多西环素具有较高的敏感性.结论 基层医院社区获得性肺炎患者常见的致病菌为肺炎支原体、肺炎链球菌、肺炎克雷伯菌,为了提高临床用药安全性,还需根据药敏结果 合理选择.

Objective To analyze the pathogenic distribution of community-acquired pneumonia patients in primary hospitals and the drug resistance of common bacteria.Methods On October 21,2016 and October 21,2018,400 patients with community-acquired pneumonia in beijiao primary hospital in shunde,guangdong were selected as test subjects,and sputum culture pathogens were detected.Results 400 cases from the perspective of the distribution of pathogenic bacteria of grassroots hospital patients with community-acquired pneumonia,the etiology,72 cases of pathogenic pathogenic bacteria infection,52 cases of single infection(72.22%),20 cases of mixed infection(27.78%),in a single infection,the most common for mycoplasma pneumoniae,in mixed infection,the most common for the other two kinds of pathogenic bacteria;From the perspective of drug sensitivity results,klebsiella pneumoniae was highly sensitive to imipenem,cefefexime and cefetadime.Streptococcus pneumoniae was highly sensitive to gatifloxacin,moxifloxacin,penicillin and amoxicillin.Mycoplasma pneumoniae is highly sensitive to levofloxacin,moxifloxacin and doxycycline.Conclusion Mycoplasma pneumoniae,streptococcus pneumoniae and klebsiella pneumoniae are the common pathogenic bacteria in community-acquired pneumonia patients in primary hospitals.