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新生儿呼吸机相关性肺炎病原学分析

Etiologic analysis of neonatal ventilator-associated pneumonia
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摘要 目的:探讨新生儿呼吸机相关性肺炎(VAP)的病原学特点及防治措施。方法:对本院2007年1月~2009年6月新生儿抢救室采用呼吸机机械通气的患儿60例,对其气道分泌物进行病原学培养分析及药敏试验。结果:该组患儿中发生VAP23例,发生率为38.3%,革兰阴性菌是主要的致病菌,且对主要的抗生素有广泛抗药性。结论:明确VAP的发病因素,提高预防意识,加强无菌操作,合理地选择抗生素,是降低VAP死亡率的关键。 Objective:Investigate the pathogenic characteristics and control measures of neonatal ventilator-associated pneumonia(VAP).Methods:Slected 60 cases of children with mechanical ventilation in our hospital from January 2007 to June 2009 emergency room with neonatal ventilator,airway secretions of their culture and susceptibility test pathogen.Results:23 cases occurred VAP,the rate was 38.3%,gram-negative bacteria was a major pathogen,and a wide range of major antibiotic resistance.Conclusion:Definite the incidence factors of VAP to improve prevention awareness,strengthen aseptic operation,reasonable choice of antibiotics is the key to reducing VAP mortality.
作者 胡朝晖
机构地区 湖南省人民医院
出处 《中国当代医药》 2010年第33期76-76,78,共2页 China Modern Medicine
关键词 新生儿 呼吸机相关性肺炎 病原学分析 New arrival Ventilator-associated pneumonia Etiologic analysis
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