【摘要】 目的:分析老年患者呼吸机相关性肺炎的病原学以及耐药性。方法:回顾性分析本院在2010年2月-2012年12月治疗的58例老年呼吸机相关性肺炎患者的临床资料。结果:共检出病原菌196株,其中革兰阴性菌占86.73%,革兰阳性菌占13.27%,革兰阴性菌铜绿假单胞菌占23.47%,鲍氏不动杆菌占16.84%,革兰阳性菌金黄色葡萄球菌占14.29%;病原菌对常用抗生素的耐药性较高。结论:革兰阴性菌是老年患者呼吸机相关性肺炎的主要致病菌,治疗时应合理使用抗菌药物。更多还原

【Abstract】 Objective:To analyze the pathogen distribution and pathogen drug resistance in elder patients with ventilator associated pneumonia. Method:Retrospective analyzed the clinical data of the 58 elder patients with ventilator associated pneumonia in our hospital from February 2010 to December 2012.Result:196 pathogens were isolated from the 58 elder patients with ventilator associated pneumonia,of which gram-negative bacterium accounted for 86.73%,gram positive bacteria accounted for 13.27%.The pseudomonas aeruginosa was 23.47%,acinetobacter baumannii was 16.84% and staphylococcus aureus was 14.29%.The antibiotic resistance of the pathogens were increasingly higher.Conclusion:The main pathogens of VAP elder patients with ventilator associated pneumonia is gram-negative bacterium.Treatment should be rational use of antimicrobial agents.更多还原