急诊重症监护病房革兰阴性杆菌感染的临床调查
重症监护病房,,重症监护病房；获得性细菌感染；革兰阴性菌；抗菌药物,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 明确急诊重症监护病房(EICU)获得性革兰阴性菌感染的病原分布概况和抗菌药物的敏感性，指导临床经验性使用抗菌药物。方法 自2002年4月~2005年12月，对我院急诊科重症监护病房患者院内获得性革兰阴性菌感染及其抗菌药物的敏感性进行回顾性调查。结果 院内获得性细菌感染革兰阴性菌占46.95%，主要为铜绿假单胞菌、鲍曼不动杆菌、阴沟肠杆菌、大肠埃希菌、克雷伯菌属菌株。G-菌仍对亚胺培南保持着较高的敏感率。结论 革兰阴性菌仍然为常见的医院感染致病菌，根据细菌病原学及抗菌药物敏感性的临床资料，合理选择经验性抗菌药物，减少耐药菌的出现。【关键词】 重症监护病房；获得性细菌感染；革兰阴性菌；抗菌药物
Gram negative bacteria infection in EICU:a clinical investigation
WANG Chen, ZENG Qing，ZHU Yuqing,et al.
Emergency Department, ChinaJapan Friendship Hospital, Beijing 100029,China
【Abstract】 Objective To search the bacterial pathology and antibiotics susceptivity information of EICU Gram negative bacteria infection, and provide the evidence for antibiotic using in clinics.Methods The Gram negative bacterial isolates from EICU and their antibiotic susceptivity were retrospectively analyzed during April 2002-Dec 2005.Results Among the isolated strain pathogens,Gram negative bacteria were 46.95%.Gram negative bacteria maily included Pseudomonas aeruginosa, A.baumannii, Ent.cloacae, Eschenchia and Klebsialla spp. The Gram negative bacteria showed high susceptibility to imipenem. Conclusions According to the data of the bacterial pathology and antibiotics susceptivity, we could select antibiotics reasonably to control the infection in EICU and decrease the emergency of the drugresistant bacteria. ......
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