临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
7期
1189-1191
,共3页
老年铜绿假单胞菌肺炎%耐药性%病死率
老年銅綠假單胞菌肺炎%耐藥性%病死率
노년동록가단포균폐염%내약성%병사솔
elderly patients with pseudomonas aeruginosa pneumonia%drug resistance%mortality
目的：分析老年铜绿假单胞菌肺炎临床特征、药敏试验结果及治疗结果。方法对皖南医学院第二附属医院呼吸内科发生的37例老年铜绿假单胞菌肺炎病例的临床资料及治疗结果进行分析。结果37例患者的临床表现无特异性，患者均伴有基础疾病或危险因素。药敏表明，铜绿假单胞菌对亚胺培南、美洛培南、左氧氟沙星、头孢哌酮/舒巴坦最敏感，敏感率分别为91．2%、81．1%、67．6%、78．4%。结论铜绿假单胞菌好发于老年、有基础疾病及免疫功能低下者，其耐药率高，病死率高，早期合理的经验性抗感染治疗可缩短疗程、降低病死率。
目的：分析老年銅綠假單胞菌肺炎臨床特徵、藥敏試驗結果及治療結果。方法對皖南醫學院第二附屬醫院呼吸內科髮生的37例老年銅綠假單胞菌肺炎病例的臨床資料及治療結果進行分析。結果37例患者的臨床錶現無特異性，患者均伴有基礎疾病或危險因素。藥敏錶明，銅綠假單胞菌對亞胺培南、美洛培南、左氧氟沙星、頭孢哌酮/舒巴坦最敏感，敏感率分彆為91．2%、81．1%、67．6%、78．4%。結論銅綠假單胞菌好髮于老年、有基礎疾病及免疫功能低下者，其耐藥率高，病死率高，早期閤理的經驗性抗感染治療可縮短療程、降低病死率。
목적：분석노년동록가단포균폐염림상특정、약민시험결과급치료결과。방법대환남의학원제이부속의원호흡내과발생적37례노년동록가단포균폐염병례적림상자료급치료결과진행분석。결과37례환자적림상표현무특이성，환자균반유기출질병혹위험인소。약민표명，동록가단포균대아알배남、미락배남、좌양불사성、두포고동/서파탄최민감，민감솔분별위91．2%、81．1%、67．6%、78．4%。결론동록가단포균호발우노년、유기출질병급면역공능저하자，기내약솔고，병사솔고，조기합리적경험성항감염치료가축단료정、강저병사솔。
Objective To analyze the clinical characteristics, drug sensitivity test results and treatment re-sults of elderly patients with pseudomonas aeruginosa pneumonia. Methods The clinical data of 37 elderly patients with pseudomonas aeruginosa pneumonia were retrospectively analyzed. Results 37 patients did not have specific clinical manifestations. All patients were with underlying disease and risk factors. Antibiotic sensitivity tests showed that pseudomonas aeruginosa was the most sensitive to imipenem, meropenme, levofloxacin, cefoperazone/sulbactam and the antibiotic sensitive rate were 91. 2%, 81. 1%, 67. 6%, and 78. 4% respectively. Conclusion Pseudo-monas aeruginosa has high incidence in the elderly patients with underlying disease and low immune function. It have high drug resistance and mortality.
