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继发肺部感染对耐多药结核病患者转归的影响
Effect of secondary pulmonary infection on outcome of patients with multidrug-resistant tuberculosis
【摘要】 继发肺部感染(简称“肺部感染”)是造成和促进结核病患者死亡的重要因素。耐药结核病患者病程长、肺部病变广泛,是构成呼吸道继发感染的基础;同时患者长期住院、使用广谱抗生素、进行侵袭性操作易发生医院内下呼吸道感染。继发肺部感染将加重耐药肺结核患者肺组织损伤,加重耐药肺结核耐药程度,加重患者营养不良,从而降低患者对治疗的依从性。因此,对耐药肺结核患者要加强预防继发肺部感染的管理。
【Abstract】 Secondary pulmonary infection is the important factors to cause and promote tuberculosis(TB)patients death.The patients with drug-resistant TB have a long course and a wide range of lung lesions,which is the basis for the formation of secondary infection of respiratory tract Meanwhile,the patients with long-term hospitalization,the use of broad-spectrum antibiotics,invasive operation prone to nosocomial lower respiratory tract infection.Secondary pulmonary infection can aggravate lung tissue injury of patients with drug-resistant TB;increase the degree of drug-resistant TB and make the patients malnutrition heavier.All of this will reduce the patients compliance.Therefore,secondary pulmonary infection of patients with drug-resistant pulmonary TB should be prevent and manage strengthenly.
【Key words】 Tuberculosis,pulmonary; Tuberculosis,multidrug-resistant; Pneumonia,bacterial; Sickness impact profile;
- 【文献出处】 中国防痨杂志 ,Chinese Journal of Antituberculosis , 编辑部邮箱 ,2017年05期
- 【分类号】R52;R563.1