摘要
目的探讨老年肺部感染常见相关性疾病和病原菌分布情况。方法对143份老年肺部感染患者的住院病历进行详尽分析。结果绝大多数病例伴有严重基础性疾病,并过多地应用抗菌素。该资料分析显示:对143例患者的痰液细菌培养分离出151株菌株,其中革兰阳性球菌49株(32.5%),革兰阴性杆菌79株(52.3%),厌氧菌4株(2.6%),真菌19株(12.6%)。结论应加强对原有基础性疾病的积极治疗与控制,尽量减少老年肺部感染发生率。根据细菌培养结果,合理指导临床用药,减少细菌耐药性和不良反应的发生。
Objective To investigate the related diseases and the distributation of pathogenic germs among the elder patients with lung infection. Methods The medical records of 143 elder inpatients with lung infectious diseases were analyzed. Results Most of these inpatients were accompanied with severe fundamental diseases and overuse of antibacterials. Among the 151 strains of germs isolated from the cultivation of 143 subjects＇ sputa or respiratory secretions＇, 49 of them were Gram- positive cocci （32.5%）, Gram - negative bacteria were 79（52.3% ）, anaerobes 4（2.6% ）, and fungus 19 （12.6 % ）. Conclusions To decrease the incidence of lung infection in the elderly, the treatment and control of underlying primary diseases should be enhanced. To minimize the tolerance of bacteria and also the side effects of drugs, the use of antibacterials should be rationally guided by the results of bacteria susceptibility tests.
出处
《实用预防医学》
CAS
2006年第5期1297-1299,共3页
Practical Preventive Medicine
关键词
肺部感染
相关性基础疾病
病原菌
治疗
老年患者
Lung infection
Related primary disease
Pothogenic germ
Treatmeat
Elder patient
