浙江医学Issue(3)：201-203,3.
CICU和EICU早发性呼吸机相关性肺炎患者下呼吸道病原菌分布及多重耐药菌比例研究
徐建国 1吴红梅 2徐子琴 2金献冠 1李钰1
作者信息
- 1. 325000 温州市人民医院原温州市第三人民医院 ICU
- 2. 325000 温州市人民医院原温州市第三人民医院感染管理科
- 折叠
摘要
Abstract
Objective To investigate the distribution of pathogens and ratio of multidrug resistant bacteria (MDRB) sepa-rated from lower respiratory tract of early-onset ventilator-associated pneumonia (VAP) patients in comprehensive intensive care unit (CICU) and emergency intensive care unit (EICU). Methods The lower respiratory tract secretions specimens of EOP pa-tients in CICU and EICU were col ected by using disposable sterile sputum specimen col ection tubes and sterile sputum set or fiber bronchoscope through the endotracheal tube or tracheostomy tube from July 2008 to December 2011. The specimens were immediately sent for bacterial culture and sensitivity test; the distribution of pathogens and ratio of MDRB were compared be-tween two groups. Results In CICU the Gram-negative bacteria, especially non-fermentative bacteria were the main pathogens, the ratio of MDRB was 50.4%;in EICU the Gram-positive bacteria, especial y Staphylococcus epidermidis, Staphylo-coccus aureus, Escherichia coli were the main pathogens, the ratio of MDRB was 8.3%. There were significant differences in the distribution characteristics and MDRB ratio of pathogens between two groups. Conclusion The pathogens isolated from VAP patients are determined by the various factors, not the type of VAP.关键词
呼吸机相关性肺炎/下呼吸道病原菌/多重耐药菌/重症监护病房Key words
Ventilator-associated pneumonia/Lower respiratory tract pathogens/Resistance rates/Intensive care unit引用本文复制引用
徐建国,吴红梅,徐子琴,金献冠,李钰..CICU和EICU早发性呼吸机相关性肺炎患者下呼吸道病原菌分布及多重耐药菌比例研究[J].浙江医学,2013,(3):201-203,3.
