倪维 杨柳 刘光忠

    [摘要] 目的 調查湖北省中医院(以下简称“我院”)与西医院间肺部感染艾滋病(HIV)患者标本病原菌分布及耐药的差异，探讨中医院肺部感染HIV患者预防医院感染中存在的问题，并提出有效的措施以供参考。 方法 选择2008年1月～2017年12月我院肺部感染HIV患者的标本进行分离培养、细菌鉴定和药敏分析，并收集个人资料。 结果 革兰阴性杆菌、革兰阳性球菌和真菌分别占比58.38%、23.24%和18.38%，且以铜绿假单胞菌、凝固酶阴性葡萄球菌和白色假丝酵母菌最为常见；革兰阴性杆菌对头孢类抗生素耐药率均低于50.00%，而对亚胺培南耐药率接近0.00%；革兰阳性球菌对喹诺酮类抗生素耐药率均超过50.00%，而对头孢类抗生素耐药率接近100.00%，但对万古霉素耐药率只有0.00%；白色假丝酵母菌对常用抗真菌药物的耐药率接近0.00%。 结论 与西医院相比，我院肺部感染HIV患者分离病原菌对常用抗生素耐药率较低，但应加强多药耐药菌的监测，着重发挥中西医结合治疗手段在预防医院感染中的作用。

    [关键词] 中医院；艾滋病；肺部感染；抗生素；耐药

    [中图分类号] R515.9 [文献标识码] A [文章编号] 1673-7210(2018)07(c)-0155-04

    The distribution and drug resistance of pathogenic bacteria of pulmonary infection with AIDS patients in hospital of traditional Chinese medicine

    NI Wei YANG Liu LIU Guangzhong

    Department of Clinical Laboratory， Hubei Province Hospital of Traditional Chinese Medicine Hubei Province Academy of Traditional Chinese Medicine， Hubei Province， Wuhan 430074， China

    [Abstract] Objective To investigate the differences between the pathogenic bacteria and drug resistance of AIDS patients with pulmonary infection between Hubei province hospital of traditional Chinese medicine (short for“our hospital”) and western hospitals. To discuss the problems in the prevention and control of hospital infection. Put forward effective measures for reference. Methods The specimens of AIDS patients with pulmonary infection in our hospital from January 2008 to December 2017 were isolated and cultured ......