摘要
目的观察ICU住院脑出血并发院内感染患者病原菌培养及药敏试验的情况。方法收集79例ICU中脑出血并发院内感染的患者,进行细菌培养及药物敏感试验。结果本组肺部感染66例,泌尿系感染10例,消化系感染3例。共培养出细菌124株,其中G+菌占31株,G-菌93株。G+性菌中金黄色葡萄球菌和溶血葡萄球菌最多,对万古霉素敏感;G-性菌中鲍曼氏不动杆菌和肺炎克雷伯最多,其中肺炎克雷伯对亚胺培南和美罗培南敏感,鲍曼氏不动杆菌表现为多重耐药。结论脑出血患者在临床治疗中应严防院内感染。对感染的患者及时进行细菌培养及耐药性的检测。
Objective To study the pathogenic bacteria and drug sensitive on nosocomial infective patients with cerebral hemorrhage in ICU department, for accumulating clinical experience and directing the clinical work. Methods Seventy-nine infective patients with cerebral hemorrhage were studied as observation group. We extracted the secretion, detect the bacterial culture and drug resistance characteristic. Results Sixty-six patients were pulmonary infection, 10 patients were urinary system infection, 3 patients were digestive system. 124 pathogen bacteria were sparated in the observation group. Gram-positive bacilli were 31 strain, gram-negative bacilli were 93 strain. The sensitive drugs of staphylococcus aureus and staphylococcus aureus（G＋） were vancomycin. The sensitive drugs of Kleber （G-） was imipenem and merupenem.The multiple drug resistance were related with Bauman＇sAcinetohacter. Conclusion The aseptic operation is important to patients with cerebral hemorrhage of ICU. We should strengthen the management of hospital infection. To infective cases, the pathogenic bacteria and drug resistance is worthy of being recommended during the treatment.
出处
《中国现代医生》
2013年第11期32-33,共2页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2010KYB134)
关键词
院内感染
脑出血
细菌培养
药敏
耐药
Hospital infection
Cerebral hemorrhage
Bacterial culture
Drug resistance
Resistance
