老年急性脑梗死患者肺部感染的病原学特点分析

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (27 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the distribution of pathogenic microorganisms and drug resistance of pulmonary infection in elderly patients with acute cerebral infarction.Methods A total of 900 elderly patients with acute cerebral infarction and pulmonary infection who were admitted to Iron and Coal General Hospital of Liaoning Health Industry Group from October 2014 to October 2019 were selected as the research subjects.Sputum specimens and respiratory secretions of the patients were collected and performed with strain identification and drug susceptibility tests to analyze the distribution of pathogenic bacteria and drug resistance.Results A total of 860 strains of pathogenic microorganisms were isolated from the sputum specimens of 900 patients with pulmonary infections,mainly including 12.55% of Grampositive bacteria,75.23% of Gram-negative bacteria,and 12.21% of fungi.Acinetobacter baumannii,pseudomonas aeruginosa,and stenotrophomonas maltophilia were three major Gram-negative bacteria and were highly resistant to drugs such as Aztreonam and Ampicillin,and had the lowest resistance to Cefoperazone/Sulbactam.Among 108 strains of the Gram-positive bacteria,64.81% of Methicillin-resistant staphylococci were found.In the fungal test,the fungi were poorly resistant to Flucytosine,Itraconazole,Amphotericin B and Fluconazole.Conclusion Pulmonary infections in elderly patients with acute cerebral infarction are mostly multi-strain mixed infections,of which Gram-negative bacteria are the most common,and clinical treatment is difficult.It is necessary to apply the most reasonable antibacterial drugs to patients based on the results of drug sensitivity tests.

Key words： Pathogenic microorganisms Elderly Pulmonary infection Acute cerebral infarction

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SHENG Lin-lin

Cite this article:

SHENG Lin-lin. Analysis of pathogenic characteristics of pulmonary infection in elderly patients with acute cerebral infarction[J]. 中国当代医药, 2021, 28(5): 65-67.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I5/65

[1]	张文，刘振生，孙勇，等.急性脑梗死支架取栓术后蛛网膜下腔出血影响因素[J].中国介入影像与治疗学，2020，17（1）：8-12.
[2]	张瑜，贺利峰，汤永国，等.急性脑梗死老年患者肺部感染的病原学特征及影响因素分析[J].中华医院感染学杂志，2018，28（13）：1947-1950.
[3]	袁明皓，张文玉，邹宁，等.急性脑梗死患者并发肺部感染的危险因素分析[J].第三军医大学学报，2019，41（2）：153-157.
[4]	曹桂花，葛伟，薛明涛.高龄肺部感染患者多重耐药菌的分布及临床特点[J].中华老年多器官疾病杂志，2018，17（10）：38-41.
[5]	高凡，陈晨，韩建峰.机械取栓和静脉溶栓治疗急性脑梗死的临床效果[J].山西医科大学学报，2018，303（1）：68-72.
[6]	张晓丹，尤小凡，田玉金，等.贫血对急性缺血性卒中预后的影响[J].中国卒中杂志，2019，14（2）：25-29.
[7]	周鹏，赵亚敏，李红金，等.急性脑梗死患者合并肺部感染的影响因素分析及对预后的影响[J].中华医院感染学杂志，2019，29（2）：212-214.
[8]	郭仕峰，李广峰，孙晓东，等.老年大面积脑梗死患者肺部感染病原菌与相关因素分析[J].中华医院感染学杂志，2018，28（19）：2921-2923.
[9]	黄秀清，赵晓华，许健，等.全面干预对预防神经内科ICU患者肺部感染的效果分析[J].中华医院感染学杂志，2018，28（7）：1107-1109.
[10]	李振华，尹世杰.神经内科疾病住院病人获得性肺部感染（6例回顾性分析）[J].临床肺科杂志，2013，18（7）：1320-1321.
[11]	刘克，任丽丽，樊明超，等.神经科ICU 鲍氏不动杆菌医院获得性肺炎调查分析[J].安徽医药，2019，23（5）：946-948.
[12]	邱新野，尹月，朱晓红.老年患者肺部感染抗菌药物应用分析[J].中国药业，2012，021（24）：87-89.
[13]	孟庆辉，魏秀芳，李新平.抗菌药物在治疗肺部感染中的临床应用效果分析[J].中国保健营养，2017，27（3）：241-242.
[14]	袁一铭，汪良芝，杨宏琼，等.抗菌药物配合氯吡格雷治疗老年脑卒中合并肺部感染的疗效及对患者免疫功能的影响[J].中华医院感染学杂志，2019，29（2）：208-211.
[15]	马文杰，陈勇，吴镝，等.多药耐药鲍氏不动杆菌相关肺部感染的抗菌药物使用分析[J].中华医院感染学杂志，2018，28（5）：675-678.