摘要
目的探讨老年呼吸机相关肺炎(VAP)的危险因素及耐药性。方法随机抽取中山市三乡医院内科入住ICU的180例老年VAP患者,分析其肺炎发生的危险因素并进行药敏试验。结果老年VAP患者感染的主要病原菌依次为铜绿假单胞菌、肺炎克雷伯菌、大肠埃希菌和阴沟肠杆菌(均>10%),上述病原菌的耐药性高低依次为氨苄青霉素、哌拉西林、环丙沙星、氧氟沙星、头孢曲松(均>20%),且年龄、合并多种疾病、操作不当等均是导致VAP发生的危险因素。结论 VAP严重危害老年患者的生命和生活质量,因此应注意预防高危因素,并选用合适的抗菌药物。
Objective To investigate the senile ventilator-associated pneumonia（VAP）risk factors and drug resistance.Methods 180 cases of elderly patients with VAP were randomly sampled from ICU of the hospital,the pneumonia risk factors were analyzed and drug sensitivity test was done.Results In elderly patients with VAP infection,the main pathogenic bacteria were Pseudomonas aeruginosa pneumonia,Cray,bacterium,Escherichia coli and Enterobacter cloacae（all10%）,the drug resistance of pathogens in sequence were ampicillin,piperacillin,ciprofloxacin,ofloxacin,ceftriaxone（all20%）,and age,combination with a variety of diseases,improper operation are the risk factors leading to VAP.Conclusion VAP seriously endangers patients′ life and quality of life,therefore attention should be paid to the prevention of high risk factors,and appropriate antimicrobial agents should be selected.
出处
《医学综述》
2012年第21期3695-3696,共2页
Medical Recapitulate
关键词
呼吸机相关肺炎
危险因素
耐药性
Ventilator associated pneumonia
Risk factors
Drug resistance
