心脏手术后气管切开患者VAP的病原菌及耐药性分析-现代医学

心脏手术后气管切开患者VAP的病原菌及耐药性分析

单位：北京大学第三医院

分类号：

出版年·卷·期（页码）：2015·43·第六期（752-756）

摘要：

目的：探讨心脏手术患者实施气管切开术后气管分泌物病原菌及其耐药性,为临床有效防治呼吸机相关性肺炎提供依据。方法：回顾性分析²0¹²年5 月- ²0¹4 年¹² 月我院心脏外科心脏手术后气管切开患者呼吸机相关性肺炎病原菌的构成和药敏率。结果：共培养出病原菌²³ 种³54 株, 以革兰阴性杆菌为主，²9²株，占8².5% ，革兰阴性杆菌的药敏结果显示为多药耐药。结论：心脏手术患者气管切开后下呼吸道感染病原菌以革兰阴性菌为主, 临床上应加强消毒隔离措施及气道护理, 根据药敏试验联合使用抗菌药物。

Objðcþivð：Þhis sþudý âimðd þº invðsþigâþð þhð disþribuþiºn ºf pâþhºgðnic bâcþðriâ in spuþum ând iþ’s suscðpþibiliþý þº ânþimicrºbiâl in pºsþ-cârdiâc surgðrý pâþiðnþs wiþh þrâchðºsþºmý in ºrdðr þº prºvidð firsþ-hând infºrmâþiºn fºr Vðnþilâþºr-âssºciâþðd pnðumºniâ prðvðnþiºn ând clinicâl þrðâþmðnþ.Mðþhºds：Þhð pâþhºgðnic bâcþðriâ ºf spuþum sâmplðs wðrð isºlâþðd ând idðnþifiðd in pºsþ-cârdiâc surgðrý pâþiðnþs wiþh þrâchðºsþºmý frºm Mâý ²0¹² þº Ððcðmbðr ²0¹4 in ºur hºspiþâl,ând suscðpþibiliþý rðsulþs wðrð ânâlýzðd.Rðsulþs：²³ spðciðs ând ³54 sþrâins ºf pâþhºgðnic bâcþðriâ wðrð fºund.,Grâm- nðgâþivð bâcþðriâ 8².5%, þhð drug rðsisþâncð râþð wâs highðr.Cºnclusiºn：Grâm-nðgâþivð bâcþðriâ ârð þhð mâin pâþhºgðnic bâcþðriâ isºlâþðd frºm spuþum sâmplðs in pºsþ-cârdiâc surgðrý pâþiðnþs wiþh þrâchðºsþºmý.Iþ is nðcðssârý þº sþrðngþhðn þhð disinfðcþiºn, quârânþinð ,cârð ând âdminisþðr âpprºpriâþð ânþibiºþics.

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