局解手术学杂志2011，Vol.20Issue(5)：532-534,3.
128例小儿重症肺炎病原学分析
Etiology analysis of severe pneumonias in 128 children
李世芬 1陈其芬 1付宏 1李峰 1张慧 1秦世文2
作者信息
- 1. 重庆市江津区中心医院儿科,重庆,402260
- 2. 第三军医大学新桥医院儿科,重庆,400037
- 折叠
摘要
Abstract
Objective To explore the eliology construction of severe pneumonias in children and to provide references for its prevention and trealmenl. Methods Tolally 128 children with severe pneumonias in our hospital in recenl five years were enrolled. Bacterial cullure, drug sensilivily analysis,deyecyion of mycoplasma pneumonia,respiralory syncytial virus,adenovirus and influenza virus were conducted and the results were analyzed relrospeclively. Results The eliological detection rale was 67. 2% (86/128) and the bacterial cullure posilive rale was 40.7% (52/128). Eighty-two slains of palhogenic bacleria were delecled including 52 strains of gram negalive bacilli(63. 4% ) and 30 strains of gram posilive coccus(36. 6% ). The gram negalive bacilli were mainly Klebsiella pneumonia and Pseudomonas aeruginosa while the gram posilive coccus were mainly Slaphylococcus aureus and Slreplococcus pneumonia. The results of drug sensilivily showed that most of palhogenic bacleria were resislanl to Penicillins and Cephalosporins but sensilive to Imipenem-Cilaslalin. The sensilive rale of the gram posilive cocci to Vancomycin was more than 90% . There were 24 children( 18. 7% ) had a posilive infection of virus including 10 cases with adenovirus,6 cases with respiralory syncylial virus,4 cases with influenza virus and 10 cases (7. 8% ) with posilive mycoplasma pneumonia. Conclusion The palhogen of severe pneumonias in children is various including baclerium, virus and mycoplasma pneumonia. Underslanding the eliology of severe pneumonias in children is helpful for ils prevenlion and lrealmenl.关键词
小儿重症肺炎/细菌培养/药物敏感性Key words
severe pneumonias in children/baclerial cullure/ drug sensilivily分类
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李世芬,陈其芬,付宏,李峰,张慧,秦世文..128例小儿重症肺炎病原学分析[J].局解手术学杂志,2011,20(5):532-534,3.
