老年急性心肌梗死患者医院感染的病原菌分布与耐药性分析

发布时间：2018-03-11 13:26

本文选题：急性心肌梗死　切入点：医院感染　出处：《中华医院感染学杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的探讨分析老年急性心肌梗死患者医院感染的病原菌分布及耐药性,为患者的临床治疗提供依据。方法回顾性分析医院心内科2012年3月-2015年3月收治的178例老年急性心肌梗死患者临床资料,分析其感染病原菌分布及其耐药性,数据采用SPSS 17.0软件进行统计分析。结果 178例急性心肌梗死患者中发生医院感染29例,感染率为16.29%;共分离病原菌87株,主要来源于痰液和尿液,分别占39.08%、34.48%;87株病原菌中以革兰阴性菌为主,共51株占58.62%;大肠埃希菌、铜绿假单胞菌、鲍氏不动杆菌对哌拉西林的耐药率高,均80.00%。结论老年急性心肌梗死患者医院感染的发生率高,且致病菌对抗菌药物的耐药性较高,需尽量减少根据经验选用抗菌药物,以减少耐药菌株的产生,降低医院感染的发生率。
[Abstract]:Objective to investigate the distribution and drug resistance of nosocomial infection in elderly patients with acute myocardial infarction. Methods the clinical data of 178 elderly patients with acute myocardial infarction from March 2012 to March 2015 were retrospectively analyzed, and the distribution of pathogenic bacteria and their drug resistance were analyzed. Results the nosocomial infection occurred in 29 out of 178 patients with acute myocardial infarction, and the infection rate was 16.29.The pathogenic bacteria were isolated from sputum and urine. Gram-negative bacteria accounted for 58.62 in 51 strains, Escherichia coli, Pseudomonas aeruginosa and Acinetobacter baumannii showed high resistance to piperacillin, all of which were 80.00.Conclusion the incidence of nosocomial infection in elderly patients with acute myocardial infarction is high. The antibiotic resistance of pathogenic bacteria to antimicrobial agents is high, so we should reduce the selection of antimicrobial agents according to experience, in order to reduce the production of drug-resistant strains and the incidence of nosocomial infection.
【作者单位】：攀枝花学院附属医院心内科;攀枝花学院附属医院检验科;泸州医学院附属中医院药房;
【基金】：四川省科技厅基金资助项目(LY-39)
【分类号】：R542.22

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