CAJ | 학술논문

目的：分析118例支气管扩张合并感染住院患者的病原学及药敏情况，以指导临床抗菌药物的应用。方法对因支气管扩张合并感染需要住院的118例患者的痰培养和药敏结果进行回顾分析。结果118例痰培养68例阳性，阳性率为57．6％，其中革兰阴性菌66株，占97．0％，最常见的病原菌为铜绿假单孢菌，对第三、四代头孢菌素、氟喹诺酮类、氨基糖甙类、碳青霉烯类抗菌药物敏感。结论支气管扩张患者病原菌分布以革兰阴性杆菌为主，尤其铜绿假单孢菌感染。在药敏结果未报告前，可经验选择第三、四代头孢菌素、碳青霉烯类、氟喹诺酮类或氨基糖甙类抗菌药物。
목적：분석118례지기관확장합병감염주원환자적병원학급약민정황，이지도림상항균약물적응용。방법대인지기관확장합병감염수요주원적118례환자적담배양화약민결과진행회고분석。결과118례담배양68례양성，양성솔위57．6％，기중혁란음성균66주，점97．0％，최상견적병원균위동록가단포균，대제삼、사대두포균소、불규낙동류、안기당대류、탄청매희류항균약물민감。결론지기관확장환자병원균분포이혁란음성간균위주，우기동록가단포균감염。재약민결과미보고전，가경험선택제삼、사대두포균소、탄청매희류、불규낙동류혹안기당대류항균약물。
Objective To investigate the etiology and antibiotic susceptibility in patients with bronchiectasis complicated by severe infection treated in Fuyang No. 2 hospital in 2013 to indicate the use of antibiotics. Methods Data of sputum culture and antibiotic suscepti-bility of 118 patients with boron complicated by severe infection were retrospectively analyzed. Results Positive sputum culture was obtained in 68 patients with the positive rate of 57. 6%. There were 66 stains of gram negative bacteria(97. 0%). Pseudomonas aeruginosa were the most common pathogens and had high sensitivity with cefozolin of III,IV,quinolones,aminoglycosides,carbopenems. Conclusion Gram-negative bacteria,especially pseudomonas aeruginosa are the main pathogens found in bronchiectasis patients. Before the report of suscepti-bility results,the cefozolin of III,IV,quinolones,aminoglycosides,carbopenems are experiential options.