新生儿_____新生儿;_呼吸机相关性肺炎;

69例新生儿呼吸机相关性肺炎病原菌检测及分析

http://www.100md.com 《新疆医科大学学报》 2005年第2期

新生儿,,新生儿;,呼吸机相关性肺炎;,机械通气,1资料与方法,2结果,3讨论,参考文献：

     摘要：目的: 探讨新生儿呼吸机相关性肺炎(VAP)病原菌耐药情况及防治措施。方法：对69例 VAP 患儿的临床资料进行回顾性分析。结果： 69例VAP患儿中，死亡5例，放弃治疗5例。大肠埃希氏菌、阴沟肠杆菌、肺炎克雷伯杆菌是VAP 3种主要致病菌，耐药率高，对泰能、环丙沙星最为敏感。结论：革兰氏阴性杆菌是新生儿VAP主要致病菌，耐药率高，应积极预防。

    关键词: 新生儿; 呼吸机相关性肺炎; 机械通气

    Pathogenic bacteria detection and drug sensitivity analysis in 69 newborns with ventilatorassociated pneumonia

    Abulaiti, Aizimaiti, Li Mingxia

    (Department of Neonatology, First Affiliated Hospital, Xinjiang Medical University,Urumqi 830054, China)

    Abstract: Objective： To detect the pathogenic bacteria sensitivity and treatment in newborns with ventilatorassociated pneumonia. Methods： An analyse of clinical data of 69 newborns with ventilatorassociated pneumonia was done. Results: Among the 69 cases of ventilatorassociated pneumonia, 5 cases was died, 5 cases refused further treatment, mortality rate is 7.25%. Enterobacter cloacae, Escherichia coli and klebsiella pneumonia were the most common bacteria. They were highly tolerant to many antibiotics, but sensitive to tienam and ciprofloxacin. Conclusion: Gram negative bacteria are the most important bacteria in the newborns with ventilatorassociated pneumonia and has high drug tolerance, It should be prevented and treated carefully. ......

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