首页|某医院ICU老年患者VAP病原菌检测及药敏结果分析

某医院ICU老年患者VAP病原菌检测及药敏结果分析

The Pathogenic Bacteria Detection and Drug Sensitivity Results for Elderly ICU Patients with VAP in a Hospital

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目的 探究重症监护室(ICU)患者呼吸机相关性肺炎(VAP)病原菌的分布情况以及相关药敏试验情况,为后续为患者制定有效且针对性控制措施提供依据.方法 选择本医院2020年04月-2023年04月ICU呼吸机相关性肺炎患者51例作为研究对象,对其痰液标本展开病原菌检测以及相关药敏检测,并对其病原菌的分布情况以及相关药敏结果进行统计分析.结果 在51例重症监护室VAP患者中共分离出78株病原菌,其中,革兰阴性菌有59株(75.64%),居前5位的依次为鲍曼不动杆菌,肺炎克雷伯菌,铜绿假单胞,大肠埃希菌,阴沟肠杆菌;革兰阳性菌有5株(6.41%),占比最高的是金黄色葡萄球菌有4株(80.00%);以及真菌共有14株(17.95%).对于肺炎克雷伯菌而言,常用的抗生素可选择哌拉西林/他唑巴坦复方制剂、头孢唑林、头孢他啶;鲍氏不动杆菌对多数抗生素均有较高的耐药性,其中排首位的为美罗培南(84.21%)、其次为左氧氟沙星、环丙沙星、氨苄西林/舒巴坦、头孢吡肟和头孢他啶,均占73.68%;铜绿假单胞菌对亚胺培南、美罗培南耐药性相较而言较高;大肠埃希菌对大部分抗生素均有较好的耐药性,如头孢类药物,其耐药性可高达100%,金黄色葡萄球菌对青霉素、克林霉素具有一定的耐药性.结论 在重症监护室呼吸机相关性肺炎病原菌中占比最高的为革兰阴性菌鲍曼不动杆菌,其对多数药物均有较高的耐药性,各个病原菌对抗生素的耐药性不同,临床应当根据病原菌检测的药敏结果为患者选择合适的抗生素予以治疗,以保证患者病情稳定,促进其恢复.
Objective To investigate the distribution of pathogens and drug sensitivity test of ventilator-associated pneumonia(VAP)in intensive-care unit intensive care unit(ICU)patients,to provide basis for making effective and targeted control measures for patients.Methods 51 patients with ventilator-associated pneumonia in the ICU of our hospital from April 2020 to April 2023 were selected as the research subjects.Conduct pathogen detection and related drug sensitivity testing on its sputum samples,and statistically analyze the distribution of pathogens and related drug sensitivity results.Results A total of 78 strains of pathogenic bacteria were isolated from 51 patients with intensive-care unit VAP.Among them,59 strains(75.64%)were gram-negative bacteria,the first five were acinetobacter Bowman,Klebsiella pneumoniae,Pseudomonas aeruginosa,coli,Enterobacter cloacae,gram-positive bacteria were 5(6.41%),Staphylococcus aureus bacteria were 4(80.00%),and fungi were 14(17.95%).For Klebsiella pneumoniae,piperacillin/tazobactam compound,cefazolin and ceftazidime are the most commonly used antibiotics,and acinetobacter baumannii is highly resistant to most antibiotics,the first place was Meropenem(84.21%),followed by Levofloxacin,Ciprofloxacin,ampicillin sulbactam,cefepime and ceftazidime(73.68%)Pseudomonas aeruginosa is highly resistant to most antibiotics,such as cephalosporins,in imine and Meropenem,whereas Escherichia coli is highly resistant to up to 100%of antibiotics,the Staphylococcus aureus is resistant to penicillin and Clindamycin.Conclusions Acinetobacter Bowman,a gram-negative bacterium,accounts for the largest proportion of pathogens causing intensive-care unit ventilator-associated pneumonia and is highly resistant to most antibiotics,according to the results of drug sensitivity test,we should select suitable antibiotics for the patients in order to ensure the stability of the patients'condition and promote their recovery.

intensive-care unitventilator-associated pneumoniadetection of pathogensre-sults of drug sensitivity

郭庆利、王斌、钱冬萌

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青岛大学基础医学院,山东青岛 266071

潍坊护理职业学院,山东潍坊 262500

重症监护室 呼吸机相关性肺炎 病原菌检测 药敏结果

2024

航空航天医学杂志
中航工业哈尔滨二四二医院

航空航天医学杂志

影响因子:0.69
ISSN:2095-1434
年,卷(期):2024.35(1)
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