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围手术期肺部感染细菌学的变迁及对策

Perioperative respiratory tract infections:the changing nature and strategy against bacterial pathogens

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【作者】 虞文魁; 朱维铭;

【Author】 YU Wen-kui,ZHU Wei-ming.Research Institute of General Surgery,Nanjing General Hospital of Nanjing Military Command,Medical College of Nanjing University,Nanjing 210002,China

【机构】 南京大学医学院临床学院南京军区南京总医院普通外科研究所;

【摘要】 呼吸道感染已成为手术病人并发感染的首位原因,其病原菌的变迁是动态的,目前革兰阴性(G-)杆菌是肺部感染的主要致病菌,革兰阳性(G+)菌和真菌的发病率在逐年增加。随着广谱抗生素的大量应用,主要致病菌耐药性日趋严重。积极应对策略包括:科学、合理应用抗生素以及采取各种有效措施,降低围手术期院内肺部感染的发生率。

【Abstract】 Respiratory tract infection is the most common infectious complication in perioperative period.Pathogens causing respiratory tract infection change continuously.Now,Gram-negative bacteria is still the most common pathogen for respiratory tract infection.Incidence of Gram-positive bacterial and fungal infection is also increasing gradually.Antibiotic abuse causes increasing problem of bacterial resistance to antimicrobial treatment.Strategies to reduce the emergence of antibiotic-resistant bacteria include not only prescribing antibiotics judiciously and properly,but also various measures to reduce the incidence of perioperative nosocomial respiratory infections.

  • 【文献出处】 中国实用外科杂志 ,Chinese Journal of Practical Surgery , 编辑部邮箱 ,2011年02期
  • 【分类号】R563.1;R619
  • 【被引频次】8
  • 【下载频次】330
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