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46例感染中毒症临床资料分析

Clinical Analysis of 46 Cases With Septicemia

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【作者】 曲亚丽龚五星蔡月明凌文辉

【Author】 QU Yali, GONG Wuxing, CAI Yueming, et al. Zhuhai People’s Hospital, The Third Hospital Affiliated to Jinan Medical College, Zhuhai 519000, China

【机构】 暨南大学医学院第三附属医院珠海市人民医院北京大学深圳医院暨南大学医学院第三附属医院珠海市人民医院 珠海519000珠海519000

【摘要】 目的分析46例感染中毒症患者血培养致病菌的种类、耐药谱、临床特征及预后。方法对我院住院诊断为感染中毒症的46例患者血培养和药敏结果及临床资料进行回顾性分析。结果46例感染中毒症患者血培养共分离出致病菌49株革兰阳性菌24株(49.0%),革兰阴性菌20株(40.8%),真菌5株(10.2%)。多种菌株对常用抗生素出现多重耐药。46例患者治愈33例(71.7%),死亡5例(10.9%),自动出院8例。结论随着新型抗生素在临床的广泛应用,革兰阳性菌感染中毒症有上升的趋势,并且呈多重耐药。

【Abstract】 Objective:To study the bacteria strain and resistance to commonly used antibiotics, clinical characteristics and prognosis of 46 patients with septicemia.Methods:The results of blood cultures and drug sensitive test of 46 patients diagnosed as septicemia in our hospital were analysed retrospectively. Results: Fourty-nine strains of microorganisms were isolated from blood cultures of 46 septic patients including 24 strains( 49.0% ) of gram positive bacteria, 20 strains ( 40.8% ) of gram negative bacteria and 5 strains( 10.2% ) of fungus. Many strains developed multi-drug resistance to the commonly used antibiotics. Thirty-three ( 71.7% ) of 46 cases were cured, 5( 10.9% ) cases died and the other 8 cases gave up treatment at own risk.Conclusion:With the clinical extensive use of new generation antibiotics,gram positive bacteria septicemia is increasing, and shows a trend of on multi-drug resistance.

  • 【文献出处】 内科急危重症杂志 ,Journal of Internal Intensive Medicine , 编辑部邮箱 ,2006年02期
  • 【分类号】R595
  • 【下载频次】29
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