首都医科大学学报 ›› 2000, Vol. 21 ›› Issue (2): 120-121.

• 论著 • 上一篇    下一篇

医院获得性MRSA下呼吸道感染42例分析

韦秀平, 邵丽丽   

  1. 首都医科大学附属北京天坛医院呼吸内科
  • 收稿日期:1999-06-06 修回日期:1900-01-01 出版日期:2000-04-15 发布日期:2000-04-15

Analysis of 42 Cases with Nosocomial MRSA Infection in Lower Respiratory Tract

Wei Xiuping, Shao Lili   

  1. Department of Respiratory Disease, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1999-06-06 Revised:1900-01-01 Online:2000-04-15 Published:2000-04-15

摘要: 对42例医院获得性耐甲氧西林金黄色葡萄球菌(MRSA)下呼吸道感染病人临床资料进行分析。结果显示:病人主要来自神经外科ICU和神经外科病房;感染与手术、气管切开、呼吸机使用、糖皮质激素应用、多种抗生素使用及病情严重程度密切相关。提示:MRSA具有多重耐药性,且易与G阴性杆菌形成混合感染,治疗困难,患者病死率高。

关键词: MRSA, 医院获得性感染, 下呼吸道, 耐药性

Abstract: The clinical data of 42 cases with nosocomial MRSA infection in lower respiratory tract were analyzed. The results showed that the patients mostly came from the wards of general ICU and neurosurgery; and nosocomial MRSA infection were closely related to operation, tracheotomy, mechanical ventilation, glucocorticoid use, unsuitable application of antibiotics and serious illness. The isolated MRSA was of multiple antibiotic resistance and easy to form mixed infection with Gram negative bacilli. The treatment of MRSA infection was difficult and it had higher mortality.

Key words: MRSA, nosocomial infection, lower respiratory tract, antibiotic-resistance

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