30例新生儿感染性肺炎病原菌的临床分析.docVIP

精品论文 参考文献 30例新生儿感染性肺炎病原菌的临床分析 四川省内江市威远县人民医院儿科 四川威远 642463 【摘 要】目的 对30例新生儿感染性肺炎的病原菌实施临床分析。方法 择取近年来于本院儿科实施诊治的新生儿感染性肺炎共计30例作为研究对象，对他们痰培养、药敏试验结果实施回顾性分析。结果 30例患儿中包括10例痰培养阳性者，所占比例为33.3%。早期型患儿和晚期型患儿最常见的感染病原菌分别为G-菌和G+菌。大肠埃希菌、肺炎链球菌、葡萄球菌属、流感嗜血杆菌为30例患儿的最常见病原菌。其中，大肠埃希菌发生率最高。对于头孢他啶、环丙沙星、阿米卡星、氨曲南、亚胺培南，G-菌均都对此敏感。作为G+菌，肺炎链球菌对阿莫西林、青霉素、头孢唑林、复方磺胺甲噁唑保持较高的耐药率，对于亚胺培南、阿莫西林/克拉维酸、环丙沙星、头孢他啶具有较高的敏感率。作为G+菌，葡萄球菌属对万古霉素、阿米卡星、环丙沙星所具有的敏感率比较高，对于其他多耐药。结论 30例患儿最常见的病原菌为大肠埃希菌。敏感率高、安全性理想的药物当属头孢他啶，可以被广泛应用在新生儿感染性肺炎的治疗当中。 【关键词】新生儿感染性肺炎；病原菌；临床分析 Clinical analysis of 30 cases of neonatal infectious pneumonia He jian Department of Pediatrics，Weiyuan County peoples Hospital of Neijiang City of Sichuan Province Sichuan Weiyuan 642463 Abstract：Objective To analyze the clinical characteristics of 30 cases of neonatal infectious pneumonia. Method 30 cases of neonatal infectious pneumonia received in our hospital in recent years were selected as the research objects.The retrospective analysis of the results of sputum culture and drug sensitivity test were carried out.Result In 30 cases，10 cases of sputum culture were positive，the proportion is 33.3%.Escherichia coli，Streptococcus pneumoniae，Staphylococcus，and Streptococcus pneumoniae were the most common pathogens in 30 cases of children. Among them，the occurrence rate of Escherichia coli was the highest.To ceftazidime，ciprofloxacin，Amikacin，aztreonam，imipenem，G- bacteria were sensitive to it. As G + bacteria，Streptococcus pneumoniae maintain high rates of drug resistance for amoxicillin，penicillin，cefazolin，compound sulfamethoxazole，maintain the sensitive rate for imipenem，amoxicillin / clavulanic acid，ciprofloxacin，ceftazidime.As G+ bacteria，the sensitivity of Staphylococcus to vancomycin，Amikacin and ciprofloxacin was high，is resistant for other multi drug .Conclusion The most common pathogenic bacteria were Escherichia coli in 30 cases. High sensitivity，safety ideal drug is the use of lamivudine，can be widely used in the treatment of neonatal infectious pn