论文部分内容阅读
目的确定脑卒中患者院内获得性肺炎(hospital acquired pneumonia,HAP)的病原学特点及耐药性。方法对浙江大学医学院附属第一医院2009年1月至2012年6月重症监护病房脑卒中患者发生的医院感染360例进行回顾性分析。结果360例肺炎患者中,分离出病原菌640株,G-菌396株,前三位的是鲍曼不动杆菌,铜绿假单胞菌,肺炎克雷伯菌。G+菌184株。真菌60株,以白色念珠菌最多。结论综合ICU病房中脑卒中患者院内获得性肺炎的主要病原菌是:鲍曼不动杆菌,铜绿假单胞菌,金黄色葡萄球菌。
Objective To determine the etiological characteristics and drug resistance of hospital acquired pneumonia (HAP) in stroke patients. Methods A retrospective analysis of 360 hospital-acquired nosocomial infections occurred in the first hospital attached to the First Affiliated Hospital of Zhejiang University from January 2009 to June 2012 in the intensive care unit. Results Among the 360 patients with pneumonia, 640 strains of pathogenic bacteria and 396 strains of G-bacteria were isolated. The top three were Acinetobacter baumannii, Pseudomonas aeruginosa and Klebsiella pneumoniae. 184 strains of G + bacteria. 60 fungi to Candida albicans up. Conclusion The main pathogens of nosocomial pneumonia in patients with stroke in ICU wards are Acinetobacter baumannii, Pseudomonas aeruginosa and Staphylococcus aureus.