小儿肺炎克雷伯菌下呼吸道感染临床特点及耐药率

发布时间：2018-01-04 15:05

  本文关键词：小儿肺炎克雷伯菌下呼吸道感染临床特点及耐药率　出处：《中国感染控制杂志》2017年05期 　论文类型：期刊论文

  更多相关文章： 儿童 下呼吸道感染 肺炎克雷伯菌 抗药性 微生物 耐药性 合理用药

【摘要】：目的了解小儿下呼吸道肺炎克雷伯菌感染的临床特征及其耐药性。方法回顾性分析2015年1—12月经痰培养确诊为下呼吸道肺炎克雷伯菌感染的107例患儿临床资料。结果 62.62%的患儿发病年龄为6个月内,64.49%的患儿为秋冬季节发病。临床均有咳嗽,39例伴有发热,主要并发症为Ⅰ型呼吸衰竭、Ⅱ型呼吸衰竭、心功能不全、电解质紊乱,其中两个系统并发症者39例(36.45%),三个系统并发症者5例(4.67%),47例(43.93%)符合重症肺炎诊断标准。43例(40.19%)有原发基础性疾病,主要是先天性心脏病、早产和低体重儿、营养不良。亚胺培南耐药菌感染患儿较非耐药菌感染患儿更易发生肺外并发症。肺炎克雷伯菌对阿米卡星(9.35%)耐药率最低。临床痊愈和显效90例,有效11例,4例未愈自动出院,死亡2例。结论小儿下呼吸道肺炎克雷伯菌感染以年龄6个月内、合并有原发基础性疾病婴儿发病率高,且并发症多。
[Abstract]:Objective to investigate the clinical characteristics and drug resistance of Klebsiella pneumoniae infection in children. Methods 107 cases of Klebsiella pneumoniae infection in lower respiratory tract from 2015 to December were analyzed retrospectively. Clinical data of children. Results. 62.62% of the children were aged within 6 months. 64.49% of the children were diagnosed in autumn and winter. 39 cases of cough accompanied with fever were found. The main complications were type 鈪，

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