中国医学创新2016，Vol.13Issue(27)：56-59,4.DOI:10.3969/j.issn.1674-4985.2016.27.015
荔城医院反复下呼吸道感染住院患者的临床感染状况分析
Clinical Conditions of Repeated Lower Respiratory Infection in Licheng Hospital
摘要
Abstract
Objective:To analyze the clinical conditions of repeated lower respiratory infection in Licheng Hospital and provide laboratory diagnosis basis for clinical treatment.Method:The sputum samples for 200 cases of repeated lower respiratory infection treated in Licheng Hospital from July 2014 to May 2015 were selected,the data of patients with drug sensitibility test and sputum culture were retrospectively analyzed.Result:In 200 cases of hospitalized patients,bacteria in sputum specimens was 90 cases,the positive rate was 45.0%,in 90 cases of positive sputum specimens,the pathogenic bacteria of 100 strains,including 57 strains(57.0%) of gram-negative bacteria,30 strains(30.0%) of gram positive bacteria and 13 strains(13.0%)of fungus.For the gram-negative bacterium,the klebsiella pneumoniae,escherichia coli and pseudomonas aeruginosa was dominated;for the gram-positive bacterium,the staphylococcus haemolyticusand staphylococcus aureus was dominated;for fungus, the candida albicans was dominated;for the mixed infection,the gram-negative bacterium and fungal infection was dominated.Through the drug sensitive test of gram-negative bacterium,the drug resistance rate of Ampicillin and Cefazolin was 87.7% and 84.2%,the drug resistance rate of Levofloxacin was 61.4%,the drug resistance rate of Imipenem was 10.5%.For 57 strains of gram-negative bacterium, there were 20 strains (35.1%)of positive ESBLs. Through the drug sensitive test of gram-positive bacterium,the drug resistance rate of Penicillin was 90.0%.Then the drug resistance rate of Cefuroxime was 66.7%,the drug resistance rate of Linezolid and Vancomycin was 0 and 6.7%.For 10 strains of staphylococcus aureus,there were 4 strains of MRSA and the positive rate was 40.0%. Conclusion:In Licheng Hospital,repeated lower respiratory tract infection in hospitalized patients,most of the pathogen resistance more easily and special bacteria causing nosocomial infection,with the majority of gram-negative bacteria,drug resistance to commonly used antibiotics is serious,is to use less of a new generation of antibiotics has certain sensitivity,clinical rational drug use,and avoid resistance to further increase.关键词
荔城医院/革兰阴性菌/革兰阳性菌/药敏试验/下呼吸道感染Key words
Licheng Hospital/Gram-negative bacteria/Gram-positive bacteria/Drug sensitive test/Lower respiratory infection引用本文复制引用
列敏冬..荔城医院反复下呼吸道感染住院患者的临床感染状况分析[J].中国医学创新,2016,13(27):56-59,4.基金项目
2015年度广东省医学科研基金立项管理项目 （）
