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lao nian zu zhong xiang guan xing fei yan fa sheng duo zhong nai yao jun gan ran de wei xian yin su fen xi
Author(s): 
Pages: 805-808
Year: Issue:  6
Journal: Experimental and Laboratory Medicine

Keyword:  老年患者卒中相关性肺炎多重耐药菌感染危险因素;
Abstract: 目的探讨老年卒中相关性肺炎(stroke associated pneumonia,SAP)发生多重耐药菌(multiple drug-resistant bacteria,MDR)感染的危险因素。方法调查统计我院收治的77例老年SAP患者的临床资料,分析诱发MDR感染的危险因素。在77例老年SAP患者中,发生MDR患者有42例,共分离出176株细菌,其中,多重耐药菌136株。多重耐药菌中G-杆菌、G+球菌中主要病原菌表现出不同的耐药情况。结果卒中类型、SAP类型、意识水平、入住病房、胃管及预防应用抗生素是诱发MDR感染的主要危险因素(P<0.05);SAP类型、意识水平和入住病房是诱发MDR感染的独立危险因素(P<0.05)。结论晚发性肺炎、意识障碍和入住ICU病房是诱发MDR感染的危险因素。
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