消化科40例患者下呼吸道感染的分析

发布时间：2018-05-22 17:42

本文选题：消化科 + 下呼吸道感染　；参考：《中华医院感染学杂志》2017年06期

【摘要】：目的分析消化科40例下呼吸道感染患者的病原菌分布及耐药性,为制定有效的预防治疗措施提供客观依据。方法选取2015年3月-2016年8月下呼吸道感染的消化科患者40例为观察组,选取未合并感染的消化科患者50例为对照组,对观察组患者下呼吸道分泌物中的病原菌分布进行检测,对两组患者的住院时间、住院费用、治愈出院率等指标进行观察和比较。结果观察组患者共分离出10株病原菌,其中革兰阴性菌、革兰阳性菌、真菌的构成比分别为60.0%、10.0%和30.0%,肺炎克雷伯菌为主要病原菌占30.0%;观察组患者的住院时间、住院费用均显著高于对照组,出院治愈率显著低于对照组,两组之间差异均有统计学意义(P0.05)。结论消化科患者下呼吸道感染的病原菌分布具有特征性,临床医务人员应给予高度的重视并采取有效的预防治疗措施。
[Abstract]:Objective to analyze the distribution and drug resistance of pathogenic bacteria in 40 patients with lower respiratory tract infection in digestive department. Methods 40 patients with lower respiratory tract infection from March 2015 to August 2016 were selected as observation group and 50 patients without infection as control group. The distribution of pathogenic bacteria in lower respiratory tract secretion was detected in observation group. The hospitalization time, hospitalization cost, cure and discharge rate of the two groups were observed and compared. Results A total of 10 strains of pathogenic bacteria were isolated from the patients in the observation group. The composition ratios of Gram-negative bacteria, Gram-positive bacteria and Fungi were 60.0% and 30.0%, respectively. Klebsiella pneumoniae was the main pathogen, and the hospitalization time of the patients in the observation group was 30.0%. The cost of hospitalization was significantly higher than that of the control group, and the cure rate was significantly lower than that of the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion the distribution of pathogenic bacteria in patients with lower respiratory tract infection in digestive department is characteristic. The medical staff should pay more attention to it and take effective preventive and therapeutic measures.
【作者单位】：宁波市医疗中心李惠利医院消化内科;
【基金】：浙江省自然基金资助项目(LQ14H030001)
【分类号】：R57;R56

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