Community-acquired Lower Respiratory Infection in Older Patients with Cerebrovascular Disease Sequelae:Bacterial Etiology and Resistance Analysis
- VernacularTitle:脑血管病后遗症患者院外下呼吸道感染分析
- Author:
Yong WANG
;
Li GU
;
Jie ZHANG
;
Lei PAN
- Publication Type:Journal Article
- Keywords:
Cerebrovascular disease;
Lower respiratory infection;
Pathogen;
Resistance
- From:
Chinese Journal of Nosocomiology
1994;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the pathogen spectrum and resistance in older cerebrovascular patients with sequelae,so as to provide the evidence for antibiotic applied clinically in these patients. METHODS Retrospective survey of 320 cerebrovascular patients with lower respiratory infection admitted in respiration department from 2003 to 2004 was conducted.RESULTS The occurrence of Gram-negative bacilli(60.41%) in cerebrovascular patients with lower respiratory infection was obviously high,among which the first places were Pseudomonas aeruginosa(24.03%),Klebsiella pneumoniae(13.20%) and Escherichia coli(9.12%),respectively.The Gram-positive bacteria mainly included oxacillin-resistant Staphylococcus aureus(17.12%).In addition,the occurrence rate of fungal infection was increasing,Candida albicans was still the most frequent one(10.30%). The imipenem was the most sensitive to Gram-negative bacilli and more superior than the cefoperazone/sulbactam and ceftazidime.The oxacillcin-resistant S.aureus was still susceptive to vancomycin.CONCLUSIONS The community-acquired lower respiratory infection in oldercerebrovascular patients with sequelae is mixed with multi-resistant bacteria.
