成都中医药大学学报2018，Vol.41Issue(1)：79-82,4.DOI:10.13593/j.cnki.51-1501/r.2018.01.079
呼吸机相关性肺炎的病原菌分布和耐药性分析
Monitoring on Distribution and Drug Resistance of Ventilator-associated Pneumonia Pathogens
高海燕 1陈希胜 1张文艳 1张洪海1
作者信息
- 1. 北京市顺义区医院呼吸内科,北京顺义101300
- 折叠
摘要
Abstract
Objective:To explore the distribution and drug resistance of the pathogens ventilator-associated pneumonia (VAP) in our hospital for guiding clinical medication.Methods:The results of sputum culture and drug susceptibility of patients with VAP in our ICUs from March 2015 to March 2017 were reviewed in the study.Results:A total of 220 pathogenic bacteria were detected in 71 patients with VAP,most of which were 189 strains of gram-negative bacillus (85.7％).Among them,pseudomonas aeruginosa (20.9％) ranked the first,acinetobacter baumannii (17.7％) ranked the second,Sphingomonas paucimobilis (16.4％),klebsiella pneumoniae (14.5％),and oniobacteria (14.1％) ranked the third,fourth and fifth respectively,and most of them showed strong drug resistance.Both acinetobacter baumannii and klebsiella pneumoniae showed drug-resistant bacteria;methicillin-resistant staphylococcus aureus (MRSA,3.6％) occupied a major part of gram-positive bacteria,the fungus were mainly moniliformes,accounting for 10％.Conclusion:Gram-negative bacteria is the main pathogen of VAP in ICUs,whose multi-drug resistance is serious.Dynamic monitoring on the characteristics of its distribution and drug resistance could be helpful for the treatment of ventilator-associated pneumonia.关键词
重症监护病房/呼吸机相关性肺炎/病原菌/耐药性Key words
Intensive care unit/Ventilator-associated pneumonia/Bacterial distribution/Drug resistance分类
医药卫生引用本文复制引用
高海燕,陈希胜,张文艳,张洪海..呼吸机相关性肺炎的病原菌分布和耐药性分析[J].成都中医药大学学报,2018,41(1):79-82,4.
