發(fā)布時(shí)間：2018-04-04 20:22

  本文選題：腫瘤　切入點(diǎn)：醫(yī)院獲得性肺炎　出處：《中華醫(yī)院感染學(xué)雜志》2014年06期

【摘要】：目的分析重癥腫瘤患者嗜麥芽寡養(yǎng)單胞菌肺炎高危因素及細(xì)菌耐藥性分析,為指導(dǎo)臨床治療嗜麥芽寡養(yǎng)單胞菌肺炎提供可靠依據(jù)。方法收集�？漆t(yī)院醫(yī)院ICU 2008年12月-2011年6月312例重癥腫瘤患者臨床資料,采用回顧性調(diào)查方法調(diào)查嗜麥芽寡養(yǎng)單胞菌肺部感染危險(xiǎn)因素,采用ATB細(xì)菌鑒定系統(tǒng)進(jìn)行鑒定及藥敏試驗(yàn),采用SPSS10.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析,多因素相關(guān)分析應(yīng)用logistic回歸分析。結(jié)果腫瘤專科醫(yī)院ICU腫瘤重癥患者發(fā)生嗜麥芽寡養(yǎng)單胞菌肺炎32例,發(fā)生率為10.3%,APACHEⅡ評分≥16分、呼吸機(jī)通氣時(shí)間7d、骨髓抑制是嗜麥芽寡養(yǎng)單胞菌肺炎發(fā)生的獨(dú)立危險(xiǎn)因素,OR值分別為9.860、3.061及2.625,病死率為40.6%;耐藥率最高的是亞胺培南、頭孢唑林、頭孢噻肟及妥布霉素均為100.0%,最低的是頭孢哌酮/舒巴坦及哌拉西林/他唑巴坦,分別為12.0%及8.5%。結(jié)論有效治療原發(fā)病,減少機(jī)械通氣時(shí)間、糾正骨髓抑制可有效減少腫瘤患者嗜麥芽寡養(yǎng)單胞菌肺炎發(fā)生率。
[Abstract]:Objective to analyze the high risk factors and bacterial resistance of severe tumor patients with pneumonia of oligotrophomonas maltophilia so as to provide a reliable basis for clinical treatment of pneumonia of oligotrophomonas maltophilia.Methods the clinical data of 312 patients with severe tumor in ICU from December 2008 to June 2011 were collected, and the risk factors of pulmonary infection of Mycotrophomonas maltophilia were investigated retrospectively.ATB bacterial identification system was used for identification and drug sensitivity test, SPSS10.0 software was used for statistical analysis, and logistic regression analysis was used for multivariate correlation analysis.Results 32 patients with severe ICU tumor were found to have pneumonia in maltophilia, the incidence rate was 10.3% and Apache 鈪，

本文編號：1711540