儿童先天性心脏病合并下呼吸道感染痰培养及药敏结果分析.pdfVIP

2800 ·论 著· 儿童先天性心脏病合并下呼吸道感染痰培养及药敏结果分析 何周梅，廖伟△，常琴，余秀梅 (第三军医大学新桥医院儿科，重庆400037) 摘要：目的探讨儿童先天性心脏病(先心病)合并下呼吸道感染痰培养阳性率、病原茵分布和药敏试验结果，为，临床防治 感粢提供选药依据。方法 回顾性分析该院儿科和心血管外科收治的87倒先心病合并下呼吸道感染患儿的痰培养和药敏试验 报告。结果 本以G一茵为主，占57．65％；病原菌种类多，交叉耐药多，敏感药物选择面窄，耐药菌株多；在药物敏感度上有明显优势的药物相 对较少。结论先心病合并下呼吸道感染的痰培养以G一茵为主，应选择对G茵敏感的抗生素为主，并应酌情辅用对G+茵敏感 的联合治疗方案；因儿童年龄及生理特点，临床用药限制多，耐药菌株多，表明儿童临床药物选择面较成人更窄，采用痰培养结果 指导临床合理用药非常必要。 关键词：先天性心脏病；下呼吸道感染；痰培养；病原茵；药敏试验 中图分类号：R725．4；R541．1 文献标识码：A 文章编号：1671—8348(2009)22—2800-02 of cultureand forchildrenwith heartdiseaseandlower tractinfection Analysissputum sensitivity congenital respiratory HEzhOU—mei，LIA0Wei△。CHANGQin。eta1． Medical 400037，China) (DepartmentofPediatrics。XinqiaoHospital，ThirdMilitary University，Chongqing To thedistributionand resistanceofcommonand inthe withcon— Abstract：0bjectiveidentify drug specialpathogenspatients heartdiseaseandlower tractinfectionfor evidenceofclinicalanti—infection Toret— genital respiratory providing therapy．Methods theresultsof87 culturesof with heartdiseaseandlower tractinfection rospectivelyanalyse sputum patientscongenital respiratory inour and ofcardiovascular In87 cultureswere the departmentdepartment surgery．Resultsspecimens，59sputum positive，and ratewas67．82％．20 were all inlow tractinfection，13were positive pathogensproven．Amongpathogensrespiratory gram-nega— tive for 6 were onewas resistancewascom— 57．65％，and bacteria，andonly fungus．Crossdrug bacteria，accounting gram-positive mortandthe