滨州医学院学报Issue(2)：113-115,118,4.
重症监护病房呼吸机相关性肺炎与非呼吸机相关性肺炎病原菌及耐药性的分析比较
Analysis of bacterial distribution and drug resistance between ventilator associated pneumonia and non-ventilator associated pneumonia in Intensive care unit
杜文燕 1陈增生 2陈文强 3田鹏 4宋卫青4
作者信息
- 1. 青岛大学医学院病原生物学教研室 青岛 266021
- 2. 淄博市中心医院
- 3. 青岛市市立医院
- 4. 淄博市中心医院
- 折叠
摘要
Abstract
Objective To investigate bacterial distribution and drug resistance between ventilator associated pneumonia and non‐ventilator associated pneumonia in Intensive care unit (ICU ) ,ICU physicians have a more reasonable basis for the use of an‐timicrobial agents .Methods The sputum specimens and lavage specimens that were submitted from ICU Jan 2012 to Dec 2013 were retrospectively analyzed ,the bacterial identification and drug susceptibility testing were performed by ,and the date were statistically analyzed .Results The top three species of pathogens isolated from ventilator associated pneumonias pecimens in ‐cluded Acinetobacter baumanii (26.68% ) ,Pseudomonas aeruginosa (18.47% ) ,Klebsiella Lei Bojun (14.08% ) ,while The top three species of pathogens isolated from non ventilator associated pneumonias pecimens included Klebsiella pneumoniae (24.38% ) ,Pseudomonas aeruginosa (21.55% ) ,Escherichia coli (15.9% ) .The detectable rate of Klebsiella pneumoniae andthere was significant difference between the two groups (P < 0 .01) ,while Pseudomonas aeruginosa ,Escherichia coli detec‐tion rate between the two groups had no significant difference .The drug resistance of pathogens isolated from ventilator associ‐ated pneumonias pecimens were common higher than non ventilator associated pneumonias pecimens .Conclusion Composition and drug resistance of pathogens from ventilator‐associated pneumonia and non ventilator‐associated pneumonia are different ,it is necessary for ICU physicians to grasp the distribution and drug resistance of the pathogen ,which has a certain guiding signif‐icance for the use of antimicrobial drugs before results of drug sensitivity test .关键词
呼吸机相关性肺炎/病原菌/耐药性Key words
ventilator associated pneumonia/bacterial distribution/drug resistance分类
医药卫生引用本文复制引用
杜文燕,陈增生,陈文强,田鹏,宋卫青..重症监护病房呼吸机相关性肺炎与非呼吸机相关性肺炎病原菌及耐药性的分析比较[J].滨州医学院学报,2015,(2):113-115,118,4.
