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医院获得性细菌性肺炎(HABP)和呼吸机相关性细菌性肺炎(VABP)可由多种多样的细菌引起。HABP的特性和VABP的经验治疗由于菌谱的扩大和耐药性增强而更具挑战性,在日常临床实践中需要了解病原体的最新变化,采用多药联合方案治疗。了解HABP和(或)VABP的地方性流行菌株和抗生素谱是经验治疗的首要依据。现结合新近的文献报道,分析HABP和VABP常见病原体的种类和耐药情况。
Hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP) can be caused by a wide variety of bacteria. The characteristics of HABP and the empirical treatment of VABP are more challenging due to the enlargement of the spectrum and the increase of drug resistance. In the daily clinical practice, it is necessary to know the latest changes of pathogens and treat them with multi-drug combination regimen. Understanding the prevalence of endemic strains and antibiotic profiles of HABP and / or VABP is the primary rationale for empirical treatment. Now combined with the recent literature reports, analysis of HABP and VABP common pathogens and drug resistance.