摘要
目的:对临终期肿瘤患者肺部感染行病原学分析。方法对川北医学院附属三台县人民医院2013年7月至2014年5月间住院肺癌患者药物敏感性试验结果进行统计分析,并对其防治作初步探讨。结果120例患者合并肺部感染患者共培养致病菌132株,其中革兰阴性菌占27.3%;革兰阳性菌占59.8%;排在前5位的致病菌分别是链球菌、肺炎双球菌、葡萄球菌、白色念球菌、肺炎克雷伯菌,检出的细菌中对常用的抗生素存在不同程度的耐药性。结论根据患者的病原学检测结果指导抗菌药物的选择和使用,提高抗菌药物的治疗有效性,减少细菌耐药性。
Objective To analyze of pathogenic bacteria of pulmonary infection in patients with terminal cancer.Methods The clinical data were retrospectively analyzed including the general cultivation of pathogenic bac-teria in sputum and the results of drug sensitivity of hospitalization of patients with lung cancer from July 2013 to May 2014.Results 132 strains of pathogenic bacteria were cultured from120 cases of patients with pulmonary infection,including gram-negative bacilli accounted for the vast majority of 27.3%,accounted for 59.8%of Gram-positive coc-ci,Ranked in the top 5 pathogenic bacteria were Streptococcus pneumoniae,Staphylococcus aureus,Candida albicans,Klebsiella pneumoniae,there arevarying degrees of resistance to commonly used antibiotics in bacteria.Conclusion Selecting and using the antimicrobial agents according to the results of pathogen detection in patients,could improve the effectiveness of antibiotic treatment and reduce bacterial resistance.
作者
曾斌
景建军
尹挺立
张云江
李明
Zeng Bin;Jing Jianjun;Yin Tingli;Zhang Yunjiang;Li Ming(Department of Oncology,the People′s Hospital of Santai County,Affiliated to Chuanbei Medical College,Mianyang,Sichuan 621100,China)
出处
《中国基层医药》
CAS
2014年第S01期18-19,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
临终患者
临终医护
呼吸道感染
癌
微生物敏感性试验
Terminally Ill
Terminal care
Respiratory tract infections
Carcinoma
Microbial sensitivity tests
