145例慢性阻塞性肺部疾病合并肺部感染患者痰培养和药敏结果分析
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[摘要]目的:了解慢性阻塞性肺疾病合并肺部感染老年患者细菌感染趋势及其耐药情况。方法：对145例慢性阻塞性肺疾病合并肺部感染老年患者的痰标本进行细菌培养及药物敏感试验。结果：145例住院的慢性阻塞性肺疾病合并肺部感染老年患者的痰标本细菌分布为：革兰阳性菌感染占14.22%，革兰阴性菌感染占69.38%，真菌感染占16.40%。慢性阻塞性肺疾病下呼吸道感染以革兰阴性菌为主，革兰阳性菌和真菌感染有上升趋势。药物敏感试验显示，大多数革兰阴性菌对广谱抗生素耐药，对加酶抑制剂敏感率高。结论：临床上应重视细菌下呼吸道感染的耐药问题，合理使用抗生素。
[关键词]慢性阻塞性肺疾病；肺部感染；细菌培养；药物敏感试验
[中图分类号]R563 [文献标识码]B [文章编号]1673-7210(2007)11(b)-088-02
Analysis of phlegm raise and medicine sensitive test result in 145 patients with COPD incorporate pneumonia
WU Ying,GU Li,YE Hui-ming
(The First People's Hospital of Neijiang,Neijiang 641000,China)
[Abstract]Objective：To understand the bacterium infection tendency and drug resistant situation in aged patients with COPD incorporate pneumonia.Methods:145 aged patients' phlegm specimen with COPD incorporate pneumonia were used to carry on the germ culture and medicine sensitive test.Results: Phlegm specimen's bacterium distribution in 145 aged patients with COPD incorporate pneumonia was gram-positive bacterium infection accounting for 14.22%,gram-negative bacterium infection accounting for 69.38%, mycosis infection accounting for 16 ......
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