中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
22期
12-14
,共3页
呼吸内科%下呼吸道感染%病原菌%药物敏感试验
呼吸內科%下呼吸道感染%病原菌%藥物敏感試驗
호흡내과%하호흡도감염%병원균%약물민감시험
Respiratory department of internal medicine%Lower respiratory tract infection%Pathogenic bacteria%Drug sensitivity test
目的：探讨呼吸内科患者下呼吸道感染的病原菌分布及药敏情况。方法：2009年1月-2013年12月收治下呼吸道感染患者，对其痰菌培养和药敏结果进行统计学分析。结果：共收集痰标本1537份，对其进行培养，672阳性结果；共检出782株病原菌，其中546株革兰阴性杆菌，157株革兰阳性球菌；79株真菌；头孢吡肟、头孢哌酮/舒巴坦和阿米卡星对革兰阴性杆菌有效；万古霉素对葡萄球菌有效；左氧氟沙星、亚胺培南和二、三代头孢菌素能有效治疗肺炎链球菌。结论：呼吸内科住院患者主要感染革兰阴性杆菌，且菌的药敏性发生较大变化，故临床合理应用药物避免出现耐药性。
目的：探討呼吸內科患者下呼吸道感染的病原菌分佈及藥敏情況。方法：2009年1月-2013年12月收治下呼吸道感染患者，對其痰菌培養和藥敏結果進行統計學分析。結果：共收集痰標本1537份，對其進行培養，672暘性結果；共檢齣782株病原菌，其中546株革蘭陰性桿菌，157株革蘭暘性毬菌；79株真菌；頭孢吡肟、頭孢哌酮/舒巴坦和阿米卡星對革蘭陰性桿菌有效；萬古黴素對葡萄毬菌有效；左氧氟沙星、亞胺培南和二、三代頭孢菌素能有效治療肺炎鏈毬菌。結論：呼吸內科住院患者主要感染革蘭陰性桿菌，且菌的藥敏性髮生較大變化，故臨床閤理應用藥物避免齣現耐藥性。
목적：탐토호흡내과환자하호흡도감염적병원균분포급약민정황。방법：2009년1월-2013년12월수치하호흡도감염환자，대기담균배양화약민결과진행통계학분석。결과：공수집담표본1537빈，대기진행배양，672양성결과；공검출782주병원균，기중546주혁란음성간균，157주혁란양성구균；79주진균；두포필우、두포고동/서파탄화아미잡성대혁란음성간균유효；만고매소대포도구균유효；좌양불사성、아알배남화이、삼대두포균소능유효치료폐염련구균。결론：호흡내과주원환자주요감염혁란음성간균，차균적약민성발생교대변화，고림상합리응용약물피면출현내약성。
Objective:To explore the pathogenic bacteria distribution and drug sensitivity in patients with lower respiratory tract infection in respiratory department of internal medicine.Methods:The patients with lower respiratory tract infection were selected from January 2009 to December 2013.We collected the sputum culture and drug sensitivity results.Results:1537 sputum specimens collected were cultured.672 of the results were positive;782 strains of pathogenic bacteria were detected.Among them,546 strains were gram negative bacteria;157 strains were gram positive cocci;79 strains were fungi.Cefepime,cefoperazone/shubatan and amikacin were effective against gram negative bacilli;vancomycin was effective against staphylococcus aureus;levofloxacin, imipenem and the second,third generation cephalosporins were effective against streptococcus pneumoniae.Conclusion:In the inpatients in respiratory infection in the department of internal medicine,the main pathogens are gram negative bacteria,and drug susceptibility of pathogens has great changes,therefore,in clinical practice,we should be rational use of antimicrobial agents to avoid the emergence of drug resistance.
