Pathogens distribution and drug resistance analysis in patients with stroke-associated pneumonia
10.3760/cma.j.issn.1673-4904.2013.34.008
- VernacularTitle:脑卒中相关性肺炎病原菌分布及耐药性分析
- Author:
Lihua CUI
- Publication Type:Journal Article
- Keywords:
Pneumonia,stroke-associated;
Pathogenic bacteria;
Drug resistance
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(34):22-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the pathogens distribution and drug resistance in acute stroke with stroke associated pneumonia (SAP) patients,and provide references for proper clinical application of antibiotics.Methods A retrospective investigation was performed to analyze the pathogens and the drug resistance of 131 acute stroke with SAP patients.Results Among 148 strains of isolated pathogens,the Gram-negative bacteria accounted for 66.22% (98/148),including Klebsiella pneumoniae,Pseudomonas aeruginosa,Escherichia coli,Acinetobacter baumannii,Enterobacter cloacae and so on.Gram-positive bacteria accounted for 26.35% (38/148).Staphylococcus aureus ranked the first,followed by Coagulase negative staphylococcus and Enterococcus faecalis.Fungi accounted for 7.43% (12/148),mainly including Candida albicans.They had varying degrees of resistance to commonly used antibiotics.Conclusions Gram-negative bacteria are predominant in SAP.Drug resistance is very serious,and the antibiotics should be selected in clinic according to the result of drug susceptibility test.