摘要
目的分析医院综合重症监护病房(GICU)医院获得性肺炎(HAP)感染菌株特点及耐药情况。方法回顾性分析GICU收治61例HAP患者的感染菌株及其对抗菌药物耐药性。结果61例HAP患者中,共检出213株菌。革兰阴性杆菌99株(46.5%),以鲍曼不动杆菌、肺炎克雷伯菌、铜绿假单胞菌和大肠埃希菌为主;革兰阳性球菌81株(38.0%),以肠球菌、金黄色葡萄球菌、表皮葡萄球菌和溶血葡萄球菌为主;真菌33株(15.5%),以白色念珠菌和非白色念珠菌为主。鲍曼不动杆菌株较多对抗生素多重耐药,未发现耐万古霉素的肠球菌株和葡萄球菌株。结论应根据细菌病原学及抗菌药物耐药性,合理选择抗菌药物,控制GICU内HAP感染的发生,减少耐药菌的出现。
Objective To analyze the infected strains and bacterial resistance of hospital acquired pneumonia（HAP）in general intensive care unit（GICU）.Methods Data of isolated infected strains and their resistance to anti-biotics in 61 patients with HAP in GICU were retrospectively analyzed.Result A total of 213 bacteria strains was isolated in 61 HAP patients,of which 99（46.5%）strains were gram-negative bacteria,81（38.0%）strains were gram-positive bacteria and 33（15.5%）strains were fungus.Gram-negative bacteria included mainly acinetobacter baumannii,klebsiella pneumoniae,pseudomonas aeruginosa and escherichia coli.Gram-positive bacteria included mainly enterococcus,staphylococcus aureus,epidermis staphylococcus and hemolytic staphylococci.Fungus included mainly candida albicans and non-candida albicans.Acinetobacter baumannii strains tended to have multiple drug resistance.No strain of staphylococcus and enterococcus resistant to vancomycin was found.Conclusion According to bacterial etiology characteristics and bacterial resistance,antibiotics should be reasonably selected to control HAP in GICU and reduce the occurence of drug-resistant bacteria.
出处
《江苏医药》
CAS
2015年第6期677-679,共3页
Jiangsu Medical Journal
关键词
医院获得性肺炎
重症监护病房
Hospital acquired pneumonia
Intensive care unit
