医院获得性肺炎药物防治策略

被引:12
作者
李性天
耿立坚
周密妹
机构
[1] 武汉科技大学附属医院临床药学室
关键词
医院获得性肺炎; 诊断; 病原学; 药物预防; 药物治疗;
D O I
暂无
中图分类号
R563.1 [肺炎];
学科分类号
1002 ; 100201 ;
摘要
回顾近年来有关医院获得性肺炎的诊疗指南、病原体流行病学分析和抗感染药物对其预防和治疗方面的进展。最常见的病原菌为金黄色葡萄球菌和铜绿假单胞菌;氯己啶等消毒剂口腔用药可预防呼吸机相关肺炎发生,但此类消毒剂以及抗生素均不能降低其死亡率;在各类抗感染药物中,美罗培南、亚胺培南等碳青霉烯类对医院获得性肺炎的治疗作用优越。
引用
收藏
页码:5 / 8
页数:4
相关论文
共 6 条
[1]   Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis [J].
Chan, Ee Yuee ;
Ruest, Annie ;
Meade, Maureen O. ;
Cook, Deborah J. .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7599) :889-893
[2]   Fifteen-year study of the changing epidemiology of methicillin-resistant Staphylococcus aureus [J].
Crum, Nancy F. ;
Lee, Rachel U. ;
Thornton, Scott A. ;
Stine, Colin ;
Wallace, Mark R. ;
Barrozo, Chris ;
Keefer-Norris, Ananda ;
Judd, Sharon ;
Russell, Kevin L. .
AMERICAN JOURNAL OF MEDICINE, 2006, 119 (11) :943-951
[3]   Oral care reduces incidence of ventilator-associated pneumonia in ICU populations [J].
Mori, H ;
Hirasawa, H ;
Oda, S ;
Shiga, H ;
Matsuda, K ;
Nakamura, M .
INTENSIVE CARE MEDICINE, 2006, 32 (02) :230-236
[4]   Antibacterial activity of carbapenems against clinically isolated respiratory bacterial pathogens in Japan between 2003 and 2004 [J].
Watanabe, A ;
Tokue, Y ;
Kikuchi, T ;
Gomi, K ;
Aoki, S ;
Satoh, T ;
Fujimura, S .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2005, 26 (05) :420-423
[5]  
实用内科学.[M].陈灏珠著.人民卫生出版社.2005,
[6]  
实用抗感染治疗学.[M].汪复;张婴元主编;.人民卫生出版社.2004,