中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
24期
99-100,101
,共3页
呼吸道感染%病原菌%耐药性
呼吸道感染%病原菌%耐藥性
호흡도감염%병원균%내약성
Respiratory tract infection%Pathogenic bacteria%Drug resistance
目的：分析呼吸内科下呼吸道感染病原菌及耐药。方法：收集2013年1月-2014年1月本院收治的120例下呼吸道感染患者的临床资料，分析痰培养结果及药敏试验结果，并探讨患者病原菌分布情况和耐药性。结果：革兰阴性菌所占百分率明显高于革兰阳性球菌和真菌，差异有统计学意义（P<0.05）；革兰阳性球菌与真菌所占比例比较，差异无统计学意义（P>0.05）；革兰阴性杆菌对磺胺甲噁唑耐药率明显高于革兰阳性球菌，敏感率明显低于革兰阳性球菌，差异有统计学意义（P<0.05）；对阿莫西林、庆大霉素、左氧氟沙星、亚胺培南耐药率明显低于革兰阳性球菌，敏感率明显高于革兰阳性球菌，差异有统计学意义（P<0.05）。结论：呼吸内科下呼吸道感染病原菌大多为革兰阴性菌，在临床中必须根据患者药敏试验情况，给予患者提供合理的用药方案，以改善患者预后情况。
目的：分析呼吸內科下呼吸道感染病原菌及耐藥。方法：收集2013年1月-2014年1月本院收治的120例下呼吸道感染患者的臨床資料，分析痰培養結果及藥敏試驗結果，併探討患者病原菌分佈情況和耐藥性。結果：革蘭陰性菌所佔百分率明顯高于革蘭暘性毬菌和真菌，差異有統計學意義（P<0.05）；革蘭暘性毬菌與真菌所佔比例比較，差異無統計學意義（P>0.05）；革蘭陰性桿菌對磺胺甲噁唑耐藥率明顯高于革蘭暘性毬菌，敏感率明顯低于革蘭暘性毬菌，差異有統計學意義（P<0.05）；對阿莫西林、慶大黴素、左氧氟沙星、亞胺培南耐藥率明顯低于革蘭暘性毬菌，敏感率明顯高于革蘭暘性毬菌，差異有統計學意義（P<0.05）。結論：呼吸內科下呼吸道感染病原菌大多為革蘭陰性菌，在臨床中必鬚根據患者藥敏試驗情況，給予患者提供閤理的用藥方案，以改善患者預後情況。
목적：분석호흡내과하호흡도감염병원균급내약。방법：수집2013년1월-2014년1월본원수치적120례하호흡도감염환자적림상자료，분석담배양결과급약민시험결과，병탐토환자병원균분포정황화내약성。결과：혁란음성균소점백분솔명현고우혁란양성구균화진균，차이유통계학의의（P<0.05）；혁란양성구균여진균소점비례비교，차이무통계학의의（P>0.05）；혁란음성간균대광알갑오서내약솔명현고우혁란양성구균，민감솔명현저우혁란양성구균，차이유통계학의의（P<0.05）；대아막서림、경대매소、좌양불사성、아알배남내약솔명현저우혁란양성구균，민감솔명현고우혁란양성구균，차이유통계학의의（P<0.05）。결론：호흡내과하호흡도감염병원균대다위혁란음성균，재림상중필수근거환자약민시험정황，급여환자제공합리적용약방안，이개선환자예후정황。
Objective:To explore the pathogenic bacteria and drug resistance for the patients with lower respiratory infection.Method:120 cases of lower respiratory infection were analyzed,the results of sputum culture and drug sensitive test were analyzed. The pathogenic bacteria distribution and drug resistance were analyzed.Result:The rate of gram negative bacteria were higher than gram-positive bacteria and fungus,with significant difference(P<0.05).There has no significant difference on the rate of gram-positive bacteria and fungus,with no significant difference(P>0.05).The drug resistance rate for sulfamethoxazole with gram negative bacteria were higher than gram-positive bacteria,with significant difference(P<0.05), the susceptibility were lower than gram-positive bacteria,with significant difference(P<0.05);The drug resistance rate of amoxicillin ,gentamicin,levofloxacin, imipenem with gram negative bacteria were lower than gram-positive bacteria,with significant difference(P<0.05),the susceptibility were higher than gram-positive bacteria,with significant difference(P<0.05). Conclusion:Most of respiratory medicine lower respiratory infection pathogens in gram-negative bacteria,in the clinical drug susceptibility test must be based on patients,provide a reasonable regimen for patients,in order to improve patients’ prognosis.
