571例新生儿感染性肺炎临床特点及病原菌分析.pdfVIP

·30· ·论著· 571例新生儿感染性肺炎临床特点及病原菌分析 兰 芬，崔小玲(湖南省湘潭市妇幼保健院，湖南湘潭411lOO) [摘要】目的：了解湘潭市妇幼保健院新生儿感染性肺炎痰培养的细菌构成、耐药情况及临床表现特点，以指导临床诊疗及合理 29．84％，以金黄色葡萄球菌为主。(2)药敏试验结果示革兰阴性茵对美罗培南和哌拉西林／他唑巴坦敏感，而对氨苄西林及头 孢唑林耐药；革兰阳性茵对万古霉素、克林霉素和庆大霉素较敏感，而对苯唑西林(金黄色葡萄球菌除外)、阿奇霉素和头孢唑林 耐药。结论：新生儿感染性肺炎以生后感染多见，痰培养以革兰阴性杆菌为主，分离菌株对美罗培南和哌拉西林／他唑巴坦敏感。 [关键词]感染；肺炎；病原茵；药敏试验 [中图分类号]R725．7 [文献标识码]A [文章编号]1672·108X(2013)05-0030-03 ofClinicalFeaturesand in571Newborns、订thInfectiousPneumonia Analysis Pathogens l_an Ma把rnalandChildHealth ofHunanProvince，HunanXiangtan411100，China) Fen，CuiXiaoling(Xiangtan Hospital understand resistanceandclinical characteristicsof neonatalinfectious [Abstract]Objective：Topathogens，drug performance hospital and useof of571newbornswith inorderto clinical rational pneumonia guide diagnosis antibiotics．Methods：Sputumspecimen infectious in MaternalandChildHealth weretakeninsterile andtested pneumoniaXiangtan Hospital conditions，culturedbyusing cultureresultsshowedthat bacteriaaccountedfor method．Resdts：Bacterial 70．16％；K1ebsiella Kirby．Bauer Gram．negative wasthe aureuswasthe showedthatGram— Gram—positivebacteria．Susceptibilitytesting pneumoniaemost；Staphylococcusmajority were to and bacteriawere resistanttocefazolinand sensitive highly meropenem negative highly ampieillin，and bacteriaweresensitiveto