CAJ | 학술논문

目的：了解我院近年来社区获得性肺炎住院患者的痰分离菌细菌谱及耐药情况，分析年龄、性别与感染菌的关系，为住院肺炎患者的临床治疗提供参考。方法回顾性分析204例痰培养阳性的社区获得性肺炎痰分离菌细菌谱及耐药情况，对主要病原体进行年龄、性别的统计学分析。结果204例患者分离出细菌224株及真菌18株，共242株；其中革兰阴性菌189株、革兰阳性菌35株。肺炎克雷伯菌在高龄及男性患者中检出率高。结论我院近年来社区获得性肺炎住院患者痰培养检出以革兰阴性菌为主，应考虑到抗革兰阴性菌的治疗。
목적：료해아원근년래사구획득성폐염주원환자적담분리균세균보급내약정황，분석년령、성별여감염균적관계，위주원폐염환자적림상치료제공삼고。방법회고성분석204례담배양양성적사구획득성폐염담분리균세균보급내약정황，대주요병원체진행년령、성별적통계학분석。결과204례환자분리출세균224주급진균18주，공242주；기중혁란음성균189주、혁란양성균35주。폐염극뢰백균재고령급남성환자중검출솔고。결론아원근년래사구획득성폐염주원환자담배양검출이혁란음성균위주，응고필도항혁란음성균적치료。
Objective To understand the sputum bacterial spectrum and resistance of hospitalized CAP pa-tients in our hospital during recent years, and to analyze the relationship of age and gender with infection in order to provide reference for clinical treatment of pneumonia. Methods The sputum bacteria spectrum and drug resistance of 204 positive sputum culture CAP patients were retrospectively analyzed, mainly including age and gende. Results 204 patients were isolated 224 strains of bacteria and 18 strains of fungi, including 189 strains of G- bacteria, 35 strains of G+ bacteria. The detection rate of Klebsiella pneumoniae was high in the elderly and male patients. Con-clusion In our hospital during recent years, G-bacteria are the main bacteria in CAP patients, so the clinical treat-ment should firstly consider anti G-bacteria therapy.