医学检验与临床2024,Vol.35Issue(1) :43-45.DOI:10.3969/j.issn.1673-5013.2024.01.010

160例成人社区获得性肺炎呼吸道标本病原菌分析

Analysis of bacterial identification and drug sensitivity test results of respiratory tract samples from 160 adults with community-acquired pneumonia

邱暖芬
医学检验与临床2024,Vol.35Issue(1) :43-45.DOI:10.3969/j.issn.1673-5013.2024.01.010

160例成人社区获得性肺炎呼吸道标本病原菌分析

Analysis of bacterial identification and drug sensitivity test results of respiratory tract samples from 160 adults with community-acquired pneumonia

邱暖芬1
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作者信息

  • 1. 龙岩市中医院检验科,福建龙岩 364000
  • 折叠

摘要

目的:探讨龙岩市中医院成人社区获得性肺炎(CAP)患者呼吸道标本细菌鉴定及药敏结果,为临床精准诊治提依据.方法:回顾性分析我院2019年9月-2020年9月收治的160例成人CAP患者呼吸道标本的细菌培养及药敏试验结果.结果:160例CAP患者痰标本培养共检出156株致病菌,其中革兰氏阴性菌122株(78.21%),革兰氏阳性菌34(21.79%)株;122株革兰氏阴性菌药敏结果显示,肺炎克雷伯菌、大肠埃希菌、铜绿假单胞菌对头孢他啶、亚胺培南、哌拉西林他唑巴坦敏感率较高;34株革兰氏阳性菌药敏结果显示,金黄色葡萄球菌、肺炎链球菌对利奈唑胺、万古霉素敏感率100.00%;而对红霉素、克林霉素敏感率较低.结论:我院成人CAP患者主要致病菌为革兰氏阴性菌,临床应通过病原菌检测和药敏实验来提高治疗效果,改善患者症状.

Abstract

Objective:To explore the results of bacterial identification and drug sensitivity test of respiratory tract samples from adults with community-acquired pneumonia(CAP)in a hospital.Methods:160 adult CAP patients admitted to our hospital from September 2019 to September 2020 were retrospectively selected,and the bacterial culture identification and drug sensitivity test results of their respiratory tract samples were analyzed.Results:156 strains of pathogenic bacteria were found in the sputum samples of 160 patients with CAP,including 122 gram-negative bacteria(78.21%)and 34 gram-positive bacteria(21.79%);The drug sensitivity of 122 gram-negative bacteria showed that Klebsiella pneumoniae,Escherichia coli and Pseudomonas aeruginosa were highly sensitive to ceftazidime,imipenem and piperacillintazobactam;The drug sensitivity results of 34 gram-positive bacteria showed that the sensitivity rate of Staphylococcus aureus and Streptococcus pneumoniae to linezolid and vancomycin was 100.00%;The sensitivity rate to erythromycin and clindamycin is low.Conclusion:The main pathogenic bacteria of adult CAP patients are gram-negative bacteria.Through pathogen detection and drug sensitivity test,the treatment effect can be fully improved and the symptoms of patients can be improved.

关键词

社区获得性肺炎/病原菌/药敏试验

Key words

Community-acquired pneumonia/Pathogenic bacteria/Drug sensitivity test

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出版年

2024
医学检验与临床
山东省千佛山医院

医学检验与临床

影响因子:0.294
ISSN:1673-5013
参考文献量14
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