综合ICU各种感染菌群分析

被引：15

作者：

宋志芳

景炳文

机构：

[1] 第二军医大学附属长征医院ICU

[2] 第二军医大学附属长征医院ICU 上海

[3] 上海

来源：

中国危重病急救医学 | 1993年 / 06期

关键词：

ICU; 感染; 病原学; G-杆菌; 真菌;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

从综合ICU 227例危重病例中选择有病原学诊断的51例感染病例进行菌群分析,发现综合ICU感染以G-杆菌和真菌为主。感染部位以肺部最多（76.5%）,其次为泌尿系感染及败血症（各31.4%）。肺部感染主要为绿脓杆菌（71.8%）和醋酸钙不动杆菌（64.1%）;两种或两种以上细菌感染33.3%,合并真菌感染30.8%。泌尿系感染以真菌为主（93.8%）,多与其它部位感染同时存在。败血症以绿脓杆菌和真菌为主（各37.5%）。院内、外感染组的感染部位、数目和菌种间均无显著差异（P>0.05）。提示:以G-杆菌和真菌感染为主的多部位,多种病原菌混合感染是综合ICU感染的主要特征。为有效控制感染,在未获得病原学诊断前,应选择广谱抗生素,必要时合用抗真菌治疗。

引用

页码：16 / 18+66

页数：4

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