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目的调查成人社区获得性肺炎的致病菌及抗菌药物的治疗。方法采用回顾性的调查方法对106例痰培养阳性的社区获得性肺炎患者进行分析。结论 60岁以上的老年患者居多;106例患者病原学检测阳性中副流感嗜血杆菌42例(39.6%)。结论嗜血杆菌属是社区获得性肺炎主要致病菌之一。60岁以上老年患者合并慢性基础病特别是COPD较多,且革兰氏阴性菌检出比例上升。抗生素的选择基本合理。
Objective To investigate adult community-acquired pneumonia pathogens and antibiotics. Methods A retrospective survey of 106 cases of sputum culture-positive patients with community-acquired pneumonia were analyzed. Conclusions The majority of elderly patients over 60 years of age are found. Among the 106 patients, 42 (39.6%) were positive for pathogenic detection of Haemophilus parainfluenzae. Haemophilus is one of the main pathogens of community-acquired pneumonia. Elderly patients over the age of 60 with chronic basic diseases, especially COPD more, and the Gram-negative bacteria detected an increase. The choice of antibiotics is reasonable.