CAJ | 학술논문

目的比较医疗机构相关性肺炎与社区获得性肺炎二者病原学特点、治疗及转归的差异.方法收集2007年1月至2009年12月我院呼吸科住院的264例肺炎患者病例,分析比较医疗机构相关性肺炎与社区获得性肺炎的病原学特点、治疗及转归.结果 264例肺炎患者中,医疗机构相关性肺炎101例(38.26％)、社区获得性肺炎163例(61.74％),医疗机构相关性肺炎患者均有较多危险因素.医疗机构相关性肺炎与社区获得性肺炎在感染病原菌种类、抗生素应用、入住重症监护室的数量、住院时间和住院费用以及转归上有统计学意义(P ＜0.05或P＜0.Ol).结论提高对医疗机构相关性肺炎的理解和认识,加强医疗机构相关性肺炎的预防,理性早期经验性抗菌药物的使用,可能会在提高医疗机构相关性肺炎的治愈率、降低其死亡率中起一定作用.
목적 비교의료궤구상관성폐염여사구획득성폐염이자병원학특점、치료급전귀적차이.방법 수집2007년1월지2009년12월아원호흡과주원적264례폐염환자병례,분석비교의료궤구상관성폐염여사구획득성폐염적병원학특점、치료급전귀.결과 264례폐염환자중,의료궤구상관성폐염101례(38.26％)、사구획득성폐염163례(61.74％),의료궤구상관성폐염환자균유교다위험인소.의료궤구상관성폐염여사구획득성폐염재감염병원균충류、항생소응용、입주중증감호실적수량、주원시간화주원비용이급전귀상유통계학의의(P ＜0.05혹P＜0.Ol).결론 제고대의료궤구상관성폐염적리해화인식,가강의료궤구상관성폐염적예방,이성조기경험성항균약물적사용,가능회재제고의료궤구상관성폐염적치유솔、강저기사망솔중기일정작용.
Objective To compare the etiology,therapy and prognosis between healthcareassociated pneumonia (HCAP) and community-acquired pneumonia (CAP).Methods The etiology,therapy and prognosis of 264 pneumonia cases were analyzed.Results Among these 264 cases,163 cases (61.74％) were CAP and 101 cases (38.26％) were HCAP.There were significant differences in etiology,antibiotics application,admitted to intensive care unit,the length and cost of hospital stay,as well as prognosis bewteen healthcare-associated pneumonia and community-acquired pneumonia ( P ＜0.05 or P ＜0.01).Conclusions Special attention should be paid to deeply understand and recognize HCAP.It is possiblely play roles in improving recovery rate and reducing death rate that prevention of HCAP and rational use of antibiotic in early stage.