CAJ | 학술논문

目的：分析老年患者呼吸机相关性肺炎的病原学以及耐药性。方法：回顾性分析本院在2010年2月-2012年12月治疗的58例老年呼吸机相关性肺炎患者的临床资料。结果：共检出病原菌196株，其中革兰阴性菌占86.73%，革兰阳性菌占13.27%，革兰阴性菌铜绿假单胞菌占23.47%，鲍氏不动杆菌占16.84%，革兰阳性菌金黄色葡萄球菌占14.29%；病原菌对常用抗生素的耐药性较高。结论：革兰阴性菌是老年患者呼吸机相关性肺炎的主要致病菌，治疗时应合理使用抗菌药物。
목적：분석노년환자호흡궤상관성폐염적병원학이급내약성。방법：회고성분석본원재2010년2월-2012년12월치료적58례노년호흡궤상관성폐염환자적림상자료。결과：공검출병원균196주，기중혁란음성균점86.73%，혁란양성균점13.27%，혁란음성균동록가단포균점23.47%，포씨불동간균점16.84%，혁란양성균금황색포도구균점14.29%；병원균대상용항생소적내약성교고。결론：혁란음성균시노년환자호흡궤상관성폐염적주요치병균，치료시응합리사용항균약물。
Objective:To analyze the pathogen distribution and pathogen drug resistance in elder patients with ventilator associated pneumonia. Method:Retrospective analyzed the clinical data of the 58 elder patients with ventilator associated pneumonia in our hospital from February 2010 to December 2012.Result:196 pathogens were isolated from the 58 elder patients with ventilator associated pneumonia,of which gram-negative bacterium accounted for 86.73%,gram positive bacteria accounted for 13.27%.The pseudomonas aeruginosa was 23.47%,acinetobacter baumannii was 16.84%and staphylococcus aureus was 14.29%.The antibiotic resistance of the pathogens were increasingly higher.Conclusion:The main pathogens of VAP elder patients with ventilator associated pneumonia is gram-negative bacterium.Treatment should be rational use of antimicrobial agents.