【作者】 饶红； 王模荣； 彭端；

【Author】 RAO Hong, WANG Morong, PENG Duan Department of Cardiovascular Medicine, Liyuan Hospital,Tongji Medical College, Huazhong Science and Technology University ( Wuhan Hubei, 430077)

【机构】 华中科技大学同济医学院附属梨园医院；

【摘要】 目的探讨老年冠心病患者医院内肺炎的致病菌及其耐药情况。方法对1999年6月-2004年6月收集的128例老年冠心病患者医院内肺炎的痰细菌培养及药敏实验结果进行分析。结果128例住院老年冠心病患者痰液标本共培养出133株需氧菌,其中革兰氏阴性菌感染占52.3%,阳性菌感染占32.7%,真菌感染占11.9%,厌菌感染占48.8%,革兰氏阳性菌、真菌和厌氧菌感染有上升趋势,药敏试验显示,大多数阴性菌对广谱抗生素产生耐药。结论临床上重视老年冠心病患者医院内肺炎的致病菌及耐药问题,合理使用抗生素。更多还原

【Abstract】 Objective To identify bacteria infection distribution and antibiotics resistant state of nosocomial pnenmonia (NP) in elderly patients with coronary heart disease. Methods Sputum Culture of 128 elderly patients with coronary heart disease were performed, and antibiotics. Sensitivity test by minimal inhibitory concentraction (MIC) were evaluated. Results Bacteria account for, Gram-positive bacteria 32.7%, Gram-negative baeteria 52.3 %, eumycetes 11.9%, anaerobes 48.8%, Most of Gramne-gative bacteria were resistant to wide-spectrum antibiotics. Incidence of grampositive bacterium. Eumycete and anaerobic bacterium infection had creasing tendency pulmandle infection to edlerly patients with coronary heart disease. Conclusions Cli-nieal doctors shonld pay attention to antibiotics resistance of bacteria in nosocomial pneumonia, and choice antibiotics reasonably improving the cardiel fuetion and quality of life of the patients.更多还原