西北药学杂志
西北藥學雜誌
서북약학잡지
2014年
3期
287-289
,共3页
万古霉素%肠球菌属%感染%危险因素
萬古黴素%腸毬菌屬%感染%危險因素
만고매소%장구균속%감염%위험인소
vancomycin%enterococcus%infection%risk factors
目的:探讨耐万古霉素肠球菌感染的易感因素及防治方法。方法对我院2011年50例耐万古霉素肠球菌感染的病例进行回顾性调查分析。结果耐万古霉素肠球菌感染患者中以院内感染较多,感染部位以下呼吸道为主,多伴有耐药葡萄球菌,同时培养阳性。结论强效广谱抗菌药物的大量应用是耐万古霉素肠球菌感染的重要危险因素。治疗可交替使用β-内酰胺类、氨基糖苷类及喹诺酮类抗菌药物;严格的隔离消毒措施可防止该感染在医院内蔓延。
目的:探討耐萬古黴素腸毬菌感染的易感因素及防治方法。方法對我院2011年50例耐萬古黴素腸毬菌感染的病例進行迴顧性調查分析。結果耐萬古黴素腸毬菌感染患者中以院內感染較多,感染部位以下呼吸道為主,多伴有耐藥葡萄毬菌,同時培養暘性。結論彊效廣譜抗菌藥物的大量應用是耐萬古黴素腸毬菌感染的重要危險因素。治療可交替使用β-內酰胺類、氨基糖苷類及喹諾酮類抗菌藥物;嚴格的隔離消毒措施可防止該感染在醫院內蔓延。
목적:탐토내만고매소장구균감염적역감인소급방치방법。방법대아원2011년50례내만고매소장구균감염적병례진행회고성조사분석。결과내만고매소장구균감염환자중이원내감염교다,감염부위이하호흡도위주,다반유내약포도구균,동시배양양성。결론강효엄보항균약물적대량응용시내만고매소장구균감염적중요위험인소。치료가교체사용β-내선알류、안기당감류급규낙동류항균약물;엄격적격리소독조시가방지해감염재의원내만연。
Objective To evaluate the sensitive factors of infection by vancomycin-resistant enterococcus(VRE) as well as the corre-sponding prevention strategies .Methods Investigation and analysis were conducted for 30 cases of infection induced by VRE .Re-sults Some of the patients had been infected in communities ,but most of the patients had been infected in hospitals .The main in-fection site was lower respiratory tract ,together with the positive results of drug-resistant staphylococci culture .Conclusion Using large amount of strong effect broad-spectrum antibiotics is the major risk factor causing infection by VRE .Alternative use of β-lactam antibiotics ,amino-glycosides or quinolones can cure the infection .Besides ,strict isolation and disinfection measures can pre-vent the infection from spreading in hospital .