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机械通气新生儿下呼吸道细菌感染的初步调查 被引量:4

A PRELIMINARY STUDY ON INFECTION OF THE LOWER AIRWAY IN MECHANICALLY VENTILATED NEWBORNS
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摘要 本文报告了16例新生儿机械辅助呼吸期间呼吸道分泌物连续细菌培养的结果。发现插管后3天细菌培养阳性率达100%,多数为绿脓杆菌,嗜麦芽假单孢菌。根据培养细菌的药物敏感试验及时调整抗生素,可以提高药物疗效,减低病死率,本文还对机械通气继发下呼吸道感染的发生机制进行了讨论。 Serial tracheal cultures were made in 16 newborns who required tracheal intubation and mechanical ventilation for 72 hours or longer. Thecultures became positive in all patients by 3 days after intubation and species of P. aeruginosa and P. maltophilia predominated. Pneumonitis occurred in 15 patients and 1 developed colonization without evidence of respiratory infection. Culture and antimicrobial susceptibility test have the importance in increasing the antibiotic effect and decreasing the mortality.
机构地区 南京市儿童医院
出处 《中国新生儿科杂志》 CAS 1991年第2期67-69,93,共4页 Chinese Journal of Neonatology
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  • 1R. Uffelen,H. K. F. Saene,V. Fidler,A. L?wenberg. Oropharyngeal flora as a source of bacteria colonizing the lower airways in patients on artificial ventilation[J] 1984,Intensive Care Medicine(5):233~237 被引量:1

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