手术患者下呼吸道感染临床分析

发布时间：2018-05-10 18:10

本文选题：麻醉 + 下呼吸道　；参考：《中华医院感染学杂志》2015年07期

【摘要】：目的分析手术患者麻醉后下呼吸道感染的病原菌及其耐药性,对临床预防和治疗麻醉后下呼吸道感染提供参考依据。方法选取2010年3月-2013年11月麻醉后发生下呼吸道感染的患者共122例,取其深部痰液标本,进行分离培养,并利用K-B琼脂法对病原菌的耐药性进行药敏试验,数据采用SPSS 17.0软件进行统计处理。结果 122例发生麻醉后下呼吸道感染的患者中以采用全麻导致感染为主,共48例占39.34%;共分离革兰阳性菌56株占43.75%,革兰阴性菌72株占56.25%;感染主要革兰阳性菌对利奈唑胺、多西环素和加替沙星的耐药率较低,均10.00%;麻醉后下呼吸道感染的主要革兰阴性菌对亚胺培南、多黏菌素和替考拉宁的耐药率较低,均10.00%。结论患者麻醉后下呼吸道感染的病原菌多具有耐药性,临床发生麻醉后下呼吸道感染时,应先分离培养病原菌并进行耐药试验,选择耐药率低的抗菌药物进行治疗。
[Abstract]:Objective to analyze the pathogens and drug resistance of patients with lower respiratory tract infection after anesthesia, and to provide reference for clinical prevention and treatment of lower respiratory tract infection after anesthesia. Methods A total of 122 patients with lower respiratory tract infection after anesthesia from March 2010 to November 2013 were selected and their deep sputum samples were isolated and cultured. The drug resistance of pathogens was tested by K-B Agar method. The data were processed by SPSS 17.0 software. Results among 122 patients with lower respiratory tract infection after anesthesia, 48 cases (39.34) were infected by general anesthesia, 56 strains of gram-positive bacteria (43.75%) and 72 strains of gram-negative bacteria (56.25%) were isolated. The resistance rates of doxycycline and gatifloxacin to imipenem, polymyxin and teicoplanin were 10.00 and 10.00 respectively. Conclusion the pathogens of patients with lower respiratory tract infection after anesthesia have drug resistance. When lower respiratory tract infection occurs after anesthesia, the pathogens should be isolated and cultured first, and the antimicrobial agents with low drug resistance rate should be selected for treatment.
【作者单位】：滨州市人民医院麻醉科;滨州市人民医院产科;辽宁省大连医科大学;
【基金】：滨州市科技局基金资助项目(JB[S]2013-4-2-4)
【分类号】：R446.5

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