ICU Patients with Secondary Pulmonary Tuberculosis Merger Lower Respiratory Infection of Pathogenic Bacteria Distribution and Drug Resistance Analysis
10.3969/j.issn.1671-7414.2016.03.039
- VernacularTitle:ICU继发性肺结核患者下呼吸道感染病原菌分布及耐药性分析
- Author:
Liyun LIN
;
Aisheng LIU
;
Yuer WEI
;
Lingzhi WEI
;
Yanmei WANG
;
Junzhu SHI
;
Xiaojun LIU
;
Yan WEN
- Publication Type:Journal Article
- Keywords:
ICU;
secondary pulmonary tuberculosis;
the lower respiratory tract;
pathogenic bacteria;
distribution;
drug resist-ance
- From:
Journal of Modern Laboratory Medicine
2016;31(3):138-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand Shenzhen Longgang,guangming and longhua new district four district hospital ICU pa-tients with secondary pulmonary tuberculosis merger lower respiratory infection of pathogenic bacteria distribution and drug resistance status of provide a reference for clinical diagnosis and rational use of antibiotics therapy.Methods Random selec-tion from February 2013 to October 2015 in the three district hospital ICU diagnosis of secondary pulmonary tuberculosis patients with lower respiratory infection in 593 cases of sputum specimen pathogenic bacteria culture and drug susceptibility results were retrospectively analyzed.Results 593 cases of ICU secondary pulmonary tuberculosis patients with respiratory tract infection of the communist party of China isolated 617 strains of pathogenic bacteria,fungi accounted for 49.6% (306/617),gram negative bacilli accounted for 40.4% (249/617),gram positive cocci accounted for 10.0% (62/617).Fungal in-fection main pathogens for white smooth candida yeast and candida yeast,respectively accounted for 44.2% (273/617)and
4.5% (28/617),gram negative bacillus mainlyKlebsiellaPneumoniae,Pseudomonasaeruginosa,and H.influenzae,respec-tively accounted for 16.7% (103/617),12.0% (74/617)and 7.3% (45/617),gram-positive cocci mainly for Saphylococcus aureus and Epidermisstaphylococcus and Hemolyticstaphylococci,respectively accounted for 4.5% (28/617),3.2% (20/617)and 0.9% (5/617).Pathogenicbacteria isolated from the multiple drug resistant bacteria,present different levels of resistance to commonly used antimicrobial agents.Conclusion ICU patients with secondary pulmonary tuberculosis merger of lower respiratory tract infection pathogens to fungi and gram-negative bacilli,the most commonWhite candida,Klebsiella pneumoniae,and Pseudomonasaeruginosa,and different levels of resistance to commonly used antimicrobial agents.
