摘要
目的探讨田林社区卫生服务中心住院患者下呼吸道感染流行病学特点,以便采取有效的控制感染措施,减少耐药菌株的产生。方法收集2004年1月-2006年9月田林社区卫生服务中心出院的6150例患者,对发生141例下呼吸道医院感染及耐药进行对比分析。结果院内下呼吸道感染发生率2.29%,耐药率58.62%,其中ESBLs发生率28.36%,主要以大肠埃希菌、肺炎克雷伯菌产生。结论积极治疗原发病,按药敏培养合理应用抗菌药物,控制其滥用,减少耐药菌株的产生。
OBJECTIVE To investigate the epidemiological characteristic of lower respiratory infection among the hospitalized patients in Tianlin Community Health Service Center so as to take effective measures to control the infection and reduce the emergence of drug resistant strains. METHODS Totally 6150 cases of patients discharged from our Center during from Jan 2004 to Sept 2006 were collected and among them 141 cases occurred hospital onset of lower respiratory infection and drug resistance was analyzed through contrasting. RESULTS The incidence rate of hospital onset of lower respiratory infection and drug resistance were 2.29% and 58.62%. Among the 141 cases, the incidence rate of ESBLs was 28. 36% which mainly produced from Escherichia coli and Klebsiella pneumoniae. CONCLUSIONS Primary affection should actively treated and antibiotics should use rationally according to the drug sensitive cultivation to control the abuse of antibiotics and reduce the emergence of drug resistant strains.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第2期272-273,共2页
Chinese Journal of Nosocomiology
关键词
下呼吸道感染
耐药性
大肠埃希菌
Lower respiratory infection
Drug resistance
Escherichia coli
