摘要
目的探讨医院获得性肠球菌肺炎的临床特点及药物耐药情况。方法应用回顾性分析的方法对医院获得性肠球菌肺炎35例患者的临床资料及肠球菌对药物的耐药情况进行分析。结果35例患者均有有基础疾病,以COPD最多见。临床表现可不典型。分离的肠球菌中粪肠球菌占74.3%,屎肠球菌占17.1%。屎肠球菌对除万古霉素及替考拉宁以外的常用抗菌药物的耐药性明显高于粪肠球菌。结论医院获得性肠球菌肺炎多发生在老年、有基础疾病者。临床表现可不典型。屎肠球菌较粪肠球菌耐药率高,合理治疗有赖于药敏结果。
Objective To analyze the clinical characteristics of nosocomial pneumonia（NP） caused by Enterococcus and to investigate the antibiotics resistance of Enterococcus strains. Methods Retrospective study of 35 patients with NP by Enterococcus. Drug resistance of Enterococcus were studied. Results All the cases had underlying diseases,most of which were COPD. Their clinical mani- festations were complex. Among 35 Enterococcus,E. faecalis were 26 strains（74.3% ）. E. faecium were 6 strains（ 17.1% ）. E. faecium resistance to most antibiotics except VAN and TEl were higher than E. faecalis. Conclusion The NP by Enterococcus usually developed in the elderly underlying diseases. The clinical manifestations were complex. Correct and appropriate treatment depends on antibiotics susceptibility.
出处
《临床肺科杂志》
2007年第6期589-591,共3页
Journal of Clinical Pulmonary Medicine
