CAJ | 학술논문

目的：观察综合医院心血管内科致肺部感染病原菌分布以及研究其耐药性，为临床控制感染、合理选择药物提供参考。方法收集淄博市临淄区人民医院心内科住院发现肺部感染患者痰培养标本110份，并进行细菌鉴定及抗生素药物敏感试验分析，统计致肺部感染病原菌种类分布及耐药性。结果110份痰标本中，经培养，革兰阴性细菌83例（75．5％），革兰阳性细菌21例（19．1％），真菌感染6例（5．4％）；大肠埃希菌、铜绿假单胞菌抗菌药物耐药性分析发现呈多重耐药趋势。结论心血管内科致肺部感染病原菌以革兰阴性细菌为主，呈多重耐药趋势。
목적：관찰종합의원심혈관내과치폐부감염병원균분포이급연구기내약성，위림상공제감염、합리선택약물제공삼고。방법수집치박시림치구인민의원심내과주원발현폐부감염환자담배양표본110빈，병진행세균감정급항생소약물민감시험분석，통계치폐부감염병원균충류분포급내약성。결과110빈담표본중，경배양，혁란음성세균83례（75．5％），혁란양성세균21례（19．1％），진균감염6례（5．4％）；대장애희균、동록가단포균항균약물내약성분석발현정다중내약추세。결론심혈관내과치폐부감염병원균이혁란음성세균위주，정다중내약추세。
Objective To observe the distribution and drug resistance of pathogenic bacteria causing pulmo-nary infections in cardiology department of general hospital ,and to provide advices for infection control and selection of drugs.Methods 110 sputum specimens of patients with pulmonary infections in cardiology department were col -lected.The distribution and drug resistance of pathogenic bacteria were analyzed .Results In the 110 sputum sam-ples,83 cases(75.5%) were infected by gram-negative bacterias,21 cases(19.1%) were infected by gram-positive bacterias,6 cases(5.4%) of fungal infection .The Escherichia coli and the Pseudomonas aeruginosa after the antibiot-ic resistance analysis were found a trend of multi resistance .Conclusion The major pathogenic bacterias causing pulmonary infections in cardiology department are gram-negative bacterias ,and they show a trend of multi resistance .