[慢性阻塞性肺病合并肺炎患者细菌学及药物敏感性特点]。

Zhi-ming Yi, Hua Yang, Xu-dong Xiang
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引用次数: 0

摘要

目的:了解2001年我院呼吸重症监护病房(RICU)慢性阻塞性肺病(COPD)合并肺炎患者的细菌学及耐药性特点。方法:采用常规方法采集543例慢性阻塞性肺病合并肺炎患者的痰液,进行细菌培养,并用K-B法进行药敏分析。结果:543例患者中有181例阳性,阳性率为33.9%。G-芽孢杆菌中主要细菌为假单胞菌(21.55%)、流感嗜血杆菌(14.36%)、肠杆菌(13.26%)和克雷伯菌(11.60%),对亚胺培南、阿米卡星和头孢他啶敏感。G+菌中以金黄色葡萄球菌(7.18%)和表皮葡萄球菌(4.42%)为主,对万古霉素、亚胺培南、头孢他啶和阿米卡星敏感。结论:2001年该院RICU慢性阻塞性肺病合并肺炎患者细菌以G-芽孢杆菌为主,其次为G+菌,对亚胺培南、阿米卡星、头孢他啶敏感。G+细菌对万古霉素高度敏感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Characteristics of bacteriology and drug sensitivity in patients with COPD combined with pneumonia].

Objective: To investigate the characteristics of bacteriology and the drug resistance in the patients with chronic obstructive disease (COPD) combined with pneumonia at our respiratory intensive care unit(RICU) in 2001.

Methods: The sputum of 543 patients with COPD combined with pneumonia was collected with a regular method, the bacteria were cultured, and then the drug sensitivity was analyzed with K-B method.

Results: There were 181 positive samples in the 543 patients with the positive rate 33.9%. The main bacteria in the G- bacillus were Pseudomonas (21.55%), Haemophilus influenza (14.36%), Enteric bacilli (13.26%), and Klebsiella (11.60%) which were sensitive to impipenem, amikacin, and ceftazidime. The main bacteria in G+ bacteria were Staphylococcus aureus (7.18%) and Staphylococcus epidermindis (4.42%) which were sensitive to vancomycin, imipenem, ceftazidime, and amikacin.

Conclusion: The bacteria in the patients with COPD combined with pneumonia at RICU of the hospital in 2001 are mainly made up of G- bacillus and secondarily of G+ bacteria which are sensitive to imipenem, amikacin, and ceftazidime. The G+ bacteria are highly sensitive to vancomycin.

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