Clinical analysis on 40 cases of hospital acquired pneumonia in ICU

XU Fang; et al

doi:10.13406/j.cnki.cyxb.2004.02.041

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Clinical analysis on 40 cases of hospital acquired pneumonia in ICU

更新时间：2024-01-17

- Clinical analysis on 40 cases of hospital acquired pneumonia in ICU
- Journal of Chongqing Medical University Issue 2, Pages: 247-248(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院急诊科
  2. 重庆医科大学临床学院急诊科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.02.041
  CLC： R563.19
- Published：2004，
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[1]徐昉,陈雪梅,刘琼.重症监护室医院获得性肺炎40例临床分析[J].重庆医科大学学报,2004(02):247-248.

XU Fang, et al. Clinical analysis on 40 cases of hospital acquired pneumonia in ICU. [J]. Journal of Chongqing Medical University (2):247-248(2004)
[1]徐昉,陈雪梅,刘琼.重症监护室医院获得性肺炎40例临床分析[J].重庆医科大学学报,2004(02):247-248. DOI： 10.13406/j.cnki.cyxb.2004.02.041.

XU Fang, et al. Clinical analysis on 40 cases of hospital acquired pneumonia in ICU. [J]. Journal of Chongqing Medical University (2):247-248(2004) DOI： 10.13406/j.cnki.cyxb.2004.02.041.

摘要

目的 :探讨重症监护病房（ICU）医院获得性肺炎（HAP）的发病率、病死率、诱发因素、病原菌分布及其耐药性

为医院获得性肺炎的防治提供依据。方法 :回顾性分析急诊ICU内 4 0例医院获得性肺炎患者的临床资料。结果 :死亡 2 3例

病死率 5 7.5 %。常见的诱发因素为气管插管或气管切开 87.5 % （ 35 / 4 0 ）。病原菌主要是铜绿假单胞菌 35 % （ 14 / 4 0 ）和鲍曼氏不动杆菌 2 0 % （ 8/ 4 0 ）

且出现多重高比例耐药。结论 :ICU医院获得性肺炎病死率高

病原菌以革兰氏阴性杆菌为主

耐药菌株多

应合理选择抗生素。

Abstract

Objective:To investigate the hospital acquired pneumoma in ICU

including its morbidity rate

mortality rate

including factors

and pathogenic distribution and its drug resistance.Methods:A clinical retrospective analysis was carried out to investigate 40 cases of patients acquiring pneumonia in EICU.Results:Twenty-three of 40 cases (57.5%)died.Factors significantly predisposing hospital acquired pneumonia were tracheal intubations or tracheotomy(35%).Pathogenic bacteria Pseudomonas aeruginosa (35%) and Acinetobacter baumannii (20%) were found in most of 40 cases.And the analysis of drug sensitivity showed resistance among all the agents tested in different levels

also the multidrug resistance emerged.Conclusion:Mortality rate of HAP is found high in ICU.The leading causative microorganisms are Gram-negative bacteria

and drug-resistant bacteria.Antibiotics should be appropriately selected.

关键词

医院内感染肺炎ICU

Keywords

Nosocomial infectionpneumoniaICU

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