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在基层医院严重存在滥用抗生隶的现象。单就抗生素治疗肺部感染而言,其用量之大,用药品种之多亦甚惊人,临床上不仅达不到应有的疗效,而且产生了种种恶果。作者结合国内外文献资料,分析了肺部感染的细菌学特点及药敏试验结果,以期对基层医院抗生素的合理应用提供依据,控制和减少耐药菌所致的难治性肺部感染。一、肺部感染细菌学特点国外有关资料报道:近十几年肺部感染细菌主要是革兰氏阳性球菌(G~+球菌),其中以肺炎球菌为主,占39％～46％,其次是肺炎支原
There is a serious abuse of antibiotics in primary hospitals. Single antibiotic treatment of lung infections, the amount of large, the variety of drugs is also staggering, clinically not only failed to meet the desired effect, but also produced a variety of evil consequences. Combined with domestic and foreign literature, the author analyzed the bacteriological characteristics and drug susceptibility test results of pulmonary infection in order to provide a basis for rational use of antibiotics in primary hospitals, and to control and reduce refractory pulmonary infections caused by drug-resistant bacteria. First, the bacteriological characteristics of lung infection Foreign relevant data reported: nearly a dozen years of lung infection of bacteria is mainly gram-positive cocci (G ~ + cocci), of which pneumococcal, accounting for 39% to 46%, followed by Mycoplasma pneumoniae