CAJ | 학술논문

目的研究脑出血昏迷患者经气管切开后发生肺部感染的致病菌,药敏及耐药情况.方法回顾性分析2006年1月～2007年12月间56例脑出血昏迷患者气管切开术后痰细菌培养、药敏资料.结果 56例患者112次痰培养阳性102次,阳性率91.07%.共培养出病原菌126株,其中G菌76株,占60.32%;G+菌39株,占30.95%;真菌11株,占8.73%.混合感染27例,细菌与真菌混合感染10例.结论脑出血昏迷患者气管切开后呼吸道感染发生率较高,致病菌以G-杆菌为主,但G+菌、真菌逐渐增加;病原菌的耐药、交叉耐药与多重耐药日趋普遍,平期、定期进行痰培养和药敏试验可确定致病菌,指导选用抗生素.
목적 연구뇌출혈혼미환자경기관절개후발생폐부감염적치병균,약민급내약정황.방법 회고성분석2006년1월～2007년12월간56례뇌출혈혼미환자기관절개술후담세균배양、약민자료.결과 56례환자112차담배양양성102차,양성솔91.07%.공배양출병원균126주,기중G균76주,점60.32%;G+균39주,점30.95%;진균11주,점8.73%.혼합감염27례,세균여진균혼합감염10례.결론 뇌출혈혼미환자기관절개후호흡도감염발생솔교고,치병균이G-간균위주,단G+균、진균축점증가;병원균적내약、교차내약여다중내약일추보편,평기、정기진행담배양화약민시험가학정치병균,지도선용항생소.
Objective To explore the pathogenic bacterium，medicamentum susceptibilitv and information of drug fast which were in trouble with nosocomial infection of lung in comatose patients dued to cerebral hemorrhage and tracheotomy．Methods The informations of sputum bacterial culture and medicamentum susceptibility were retrospective analyzed in 56 Datients which were in coma dued to cerebral hemorrhage and tracheotomy during 2006～2008．Resuits In 112 sputum culture tests among 56 cases，the positive tests were 102，positive rate was 91．07％,and 126 strains pathogenic bacterium were cultured．Among 126 strains pathogenic bacterium，Gram negative bacterium were 76 strains(60．32％)，Gram positive bacterium were 39 strains (30．95％),and fungi were 11 strains(8．73％)．Conclusions The rate of resDiratory tract infection was high in comatose patients dued to cerebral hemorrhage and tracheotomy．The pathogenic bacteria was master dued to the Gram negative bacilus，but the infection rate of the Gram positive coccus and fungus was increased gradually．The condition of drug fast,intersect drug fast and multiplicitas drug fast was generally day by day．It can definite the pathogenic bacteria and guide to adoption antibiotic through sputum cultured and medicamentum susceptibility test in nonage or regularity．