摘要
目的探讨老年慢性心力衰竭伴院内感染的病原学特点及抗菌药物的优化治疗。方法回顾性分析2011年3月至2012年3月三亚市农垦三亚医院收治的60例老年慢性心力衰竭伴感染患者的临床资料,分析总结其病原学特点及抗菌药物的优化治疗。结果标本中病原菌分布为:铜绿假单胞菌占21.7%(13/60),大肠埃希菌占18.3%(11/60),金黄色葡萄球菌占15.0%(9/60),凝固酶阴性葡萄球菌占11.7%(7/60),鲍曼不动杆菌占11.7%(7/60),肺炎克雷伯菌占10.0%(6/60),肠球菌占6.7%(4/60)。大部分院内感染的病原菌都具有较强的耐药性。结论老年慢性心力衰竭患者易发生院内感染,所感染病原菌具有较高的耐药性,因此,院内感染患者要及时检测病原学,根据检测结果合理选择抗菌药物及时进行优化治疗。
Objective To investigate the etiological characteristics and optimization of the antimicrobial treatment for chronic heart failure combined with pulmonary infection in elderly patients .Methods Clinical data of 60 elderly patients with chronic heart failure combined with pulmonary infection admitted in Sanya Nongken Hospital from Mar.2011 to Mar.2012 were retrospectively analyzed to summarize the characteristics of its etiology and antimicrobial agents to optimize treatment .Results The distribution of pathogens in the samples was as following：Pseudomonas aeruginosa accounted for 21.7%（13/60）,Escherichia coli accoun-ted for 18.3%（11/60）,Staphylococcus aureus accounted for 15.0%（9/60）,coagulation negative staphylo-cocci accounted for 11.7%（7/60）,Acinetobacter baumannii accounted for 11.7%（7/60）,Klebsiella pneumoniae accounted for 10.0%（6/60）,enterococci accounted for 6.7%（4/60）.Most of nosocomial infection pathogens had strong drug resistance.Conclusion Elderly patients with chronic heart failure are easily get nosocomial infections,the pathogens infected usually have high drug resistance,therefore,patients with nosocomial infection should be given timely detection of etiology , and reasonable antibiotic therapy should be determined timely in order to optimize the treatment basing on test results .
出处
《医学综述》
2015年第11期2095-2096,共2页
Medical Recapitulate
关键词
心力衰竭
老年
院内感染
病原学分析
优化治疗
Heart failure
Elederly
Nosocomial infection
Etiological analysis
Optimization of treatment
