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zhong zheng lu nao sun shang huan zhe xia hu xi dao ge lan yin xing gan jun gan ran ji nai yao fen xi
Author(s): 
Pages: 314-316
Year: Issue:  4
Journal: JIANGXI JOURNAL OF MEDICAL LABORATORY SCIENCES

Keyword:  神经外科重症下呼吸道感染耐药分析;
Abstract: 目的 为探讨我院神经外科重症患者下呼吸道革兰阴性菌感染及耐药性,为临床治疗提供依据.方法 采用封闭式一次性吸取下呼吸道感染患者痰液进行培养,分离菌株进行严格的鉴定.结果 分离菌以多重耐药的鲍曼不动杆菌、铜绿假单胞菌及肠杆菌科细菌为主,铜绿假单胞菌对亚胺培南耐药率最高,对哌拉西林敏感性优于其它菌,鲍曼不动杆菌除对亚胺培南、头孢哌酮/舒巴坦敏感外对其它抗菌药呈高度耐药.酶抑制剂舒巴坦优于他唑巴坦.临床上停止或减少插管、提高免疫力、缩短抗生素使用时间,维持血糖正常水平是控制下呼吸道感染的关键.结论神经外科重症患者下呼吸道感染率高,与侵人性操作、抗菌药物使用时间长及患者免疫功能低下有关.
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