老年人痰液细菌培养及耐药性情况分析

摘要

Objective:To analyze the sputum bacterial culture and drug resistance situation of the elderly, the scientific and rational basis for diagnosis, treatment of clinical disease and the use of antibacterial drugs, so as to promote significantly improved clinical outcomes. Methods:Sputum culture and drug resistance of night results sputum specimens of 100 cases of night in elderly patients in our hospital from 2011 February to 2013 February were analyzed retrospectively. Results:Of sputum bacterial culture results showed that, the highest resistance rate of Pseudomonas aeruginosa, followed by Enterococcus, Klebsiella pneumoniae;drug resistance in sputum, the highest resistance rate to penicillin, secondly to beta-lactams, macrolides. Conclusion:The clinical effective detection of drug resistance of pathogenic bacteria and its clinical medical staff bulletin is conducive to the rational use of antimicrobial agents, and effective guidance on clinical medication.%目的：分析老年人痰液细菌培养及耐药性情况，将科学合理的依据提供给诊断、治疗临床疾病和运用抗菌药物方面，从而促进临床疗效的显著提升。方法：回顾性分析我院2011年2月至2013年2月收治的100例老年患者的痰夜标本的痰夜培养和耐药结果资料。结果：老年人痰液细菌培养结果表明，耐药率最高的为铜绿假单胞杆菌，其次为粪肠球菌、肺炎克雷伯菌等；在痰液耐药性方面，耐药率最高的为青霉素类，其次为β内酰胺类、大环内酯类等。结论：临床有效检测致病菌的耐药性并将其向临床医务工作人员通报有利于合理使用抗菌药物，并对临床用药进行有效的指导。