CAJ | 학술논문

目的调查我院呼吸内科住院患者病原学检测及药敏情况,并分析细菌耐药原因,为指导临床合理用药提供依据.方法采用回顾性调查研究方法,对呼吸内科518例住院病历的主要临床诊断、病原学检测及药敏情况等进行统计分析.结果呼吸内科住院患者以感染性疾病为主,病原学送检率为75.78%,阳性率为10.43%,主要致病菌为肺炎链球菌、酵母样真菌和流感嗜血杆菌,肺炎链球菌和肺炎克雷伯菌对多种抗菌药物耐药.385例做细菌培养+药敏,送检率75.78%,其中阳性53例,阳性率为10.43%.413例患者好转,60例治愈,22例死亡,18例未愈,其他5例上级医院治疗.结论我院呼吸内科病原学送检率较高,阳性率较低,其中肺炎链球菌和肺炎克雷伯菌耐药形势严峻,应进一步提高送检标本的质量,合理使用抗菌药物,尽量改善耐药现状.
목적 조사아원호흡내과주원환자병원학검측급약민정황,병분석세균내약원인,위지도림상합리용약제공의거.방법 채용회고성조사연구방법,대호흡내과518례주원병력적주요림상진단、병원학검측급약민정황등진행통계분석.결과 호흡내과주원환자이감염성질병위주,병원학송검솔위75.78%,양성솔위10.43%,주요치병균위폐염련구균、효모양진균화류감기혈간균,폐염련구균화폐염극뢰백균대다충항균약물내약.385례주세균배양+약민,송검솔75.78%,기중양성53례,양성솔위10.43%.413례환자호전,60례치유,22례사망,18례미유,기타5례상급의원치료.결론 아원호흡내과병원학송검솔교고,양성솔교저,기중폐염련구균화폐염극뢰백균내약형세엄준,응진일보제고송검표본적질량,합리사용항균약물,진량개선내약현상.
Objective To investigate the detection of pathogens and susceptibility conditions and analyze its drug-resistance reason in-patients in the respiratory medical department for providing evidence in order to guide the rational administration of clinics. Methods Five hundred and eighteen medical records of the respiratory medical department had been investigated by retrospective review method. The main clinical diagnosis, the detection of pathogens and susceptibility conditions were analyzed and counted. Results Infectious diseases were the main clin-ical diagnosis of the in-patients of the respiratory medical department. The pathogens' submission rate was 75.29% and the rate of masculine was 13. 77% . The main pathogenic bacteria were Streptococcus Pneumoniae, Yeast-like fungi and Hemophilus influenzae. Streptococcus Pneumoniae and Klebsiella Pneumoniae were drug fast to many anti-biotics. Conclusions The pathogens' submission rate in our hospital is high and the rate of masculine is low. The conditions of the drug-resistance of Streptococcus Pneumoniae and Klebsiella Pneumoniae is very serious. We should improve the sample's quality and use antibacterials rationally in order to improve the drug-resistance conditions.