【作者】 何晓雯； 曾一芹； 左江成； 王群兴； 周宜兰； 陈春燕；

【Author】 He Xiao-wen~(1,2) Zeng Yi-qin~2 Zuo Jiang-cheng~2 Wang Qun-xing~(1,2) Zhou Yi-lan~2 Chen Chun-yan~2 (1.The First College of Clinical Medical Sciens,China Three Gorges University,443003,China 2.Yichang,Central People’s Hospital,443003,China)

【机构】 三峡大学第一临床医学院； 宜昌市中心人民医院；

【摘要】 目的探讨慢性阻塞性肺病(COPD)继发革兰阴性杆菌肺炎的细菌分布及耐药特性,为临床提供诊疗依据。方法:用美国 Micro WalkAWY40细菌鉴定仪鉴定细菌,用纸片扩散法进行药敏监测。结果 COPD 合并肺炎的病原菌以肺炎克雷伯菌和铜绿假单胞菌分离率最高,分别为26.8%和26.2%;病原菌多为耐药菌,仅对亚胺培南、阿米卡星和头孢他啶敏感性较高,对其他常用抗生素均呈现较高的耐药性。结论临床对 COPD 合并肺炎应采取早期预防,及时诊断、合理使用抗生素进行治疗的综合性治理措施。更多还原

【Abstract】 objective To study the organism and drug resistance in chronic obstructive pulmonary disease(COPD)patients with Gram-negative Bacteria(GNB) nosocomial pneumonia,inorder to provid the index to clinician Method The bacteria were tested by Micro Walk AWY 40.which made in America,the susceptibiotics test were carried by disk diffusion test.Results The rates of Klebsiella pneumoniae and Pseudornonas aeruginosa among all bacteria is higher,which were 26.8 and 26.2;the organisms were almost drug resistance bactrtias,which were more sensitive to imipenem,amikacin and ceftazidime,and more resistant to other drugs.Result The hospital should make precautions,diagnose in time,use antibiotic reasonably and so on.更多还原