摘要
目的:对老年性慢性阻塞性肺疾病急性加重期(AECOPD)患者痰培养病原菌类别及药敏进行分析。方法:回顾了本院2013年5月-2014年4月39例老年AECOPD患者的痰标本细菌培养和药敏报告,对所分离出来的革兰氏阴性杆菌(GNB)进行分类。结果:老年AECOPD患者痰培养显示以革兰氏阴性杆菌为主,占88.0%,其中以非发酵菌为主,占51.6%,其次为肠杆菌属,细菌依次为铜绿假单胞菌、鲍曼溶血不动杆菌、肺炎克雷伯菌。药敏试验显示大多数革兰氏阴性杆菌对新喹诺酮类、氨基糖甙类、美罗培南等抗生素敏感。结论:革兰氏阴性杆菌是老年人慢性阻塞性肺病急性加重期主要致病菌,只有根据药敏结果,才能更好地经验性用药,达到有效的治疗目的。
Objective： To summarize the character of pathogen and drug sensitivity of phlegmy plant in the elderly patients with chronic obstructive pulmonary. Method： Bacteria isolated from sputum of 39 older AECOPD patients and results of the susceptibility of antibacterial were analyzed. Result： Most bacteria in the sputum samples were gram stain negative bacillus （ GNB ）, occupied 88.0% percent, and non-ferment bacteria occupied the highest rate （ 51.6% ）, while enterobacteriaceae were the second. The first three bacteria were Pseudomonas aeruginosa, Acinetobacter baumanni and Klebsiella pneumonia. The results of the antibacterial susceptibility revealed that most of the GNB were sensitive to quinolone, aminoglycosides, and carbapenems..Conclusion： GNB are the main organism in the elderly patients which are in the period of acute exacerbation of COPD.Antibioic should be selected according to the character of the elderly patients, which can achieve effective therapeutic purposes.
出处
《中国医学创新》
CAS
2014年第26期107-109,共3页
Medical Innovation of China
