痰培养鲍曼不动杆菌预测呼吸机相关性肺炎的可行性分析.DOCVIP

痰培养鲍曼不动杆菌预测呼吸机相关性 肺炎的可行性分析 歷歷ift王家强 成都医学院第一附属医院检验科 R的探讨痰培养鲍曼不动杆菌对呼吸机相关性肺炎的预测可行性，为临床应用 提供依据。方法选择在我院住院行呼吸机治疗的80例患荠为研宂对象，收集患 者姓名、性别、年龄、出生地、病区、职业、入院时间、出院时间、既往病史、 抗生素使用情况、腹腔引流情况、机械通气情况等资料，以及患者痰样品鉴定细 菌中是否存在鲍曼不动杆菌。并采用完全随机化方法将患者分为观察组和对照组 各40例，对其临床资料进行分析对比。结果观察组及对照组呼吸机相关性肺炎 与患者机械通气方式、抗生素联用、入院时间、住院史、腹腔引流管间差异有统 计学意义（P0.05）:观察组与对照组患者鲍曼不动杆菌阳性检测率差异存在统 计学意义（P〈0. 05）;鲍曼不动杆菌与呼吸机相关性肺炎亦存在统计学意义 （P〈0.05）。结论临床中对痰培养样本进行鲍曼不动杆菌检测，可有效预测呼吸 机相关性肺炎，具有较高的临床应用价值。 关键词： 痰培养;鲍曼不动杆菌;呼吸机相关性肺炎;可行性; :2016-11-08 基金：四川省卫生厅科研课题（1104782） Feasibility analysis of sputum culture of Acinetobacter Bauman in the prediction of ventilator associated pneumonia ZHOU Qin YANG Jing WANG Dan WANG Jiaqiang Department of Clinical Laboratory, TlieFlrst Affiliated Hospital of Chengdu Medical College; Abstract： Objective To explore the feasibility of the application of sputum culture in the prediction of the ventilator associated pneumonia in Bauman, and provide the basis for clinical application. Methods The clinical data of 80 patients treated with ventilator were retrospective!y analyzed. The data including gender, name， occupation, age， place of birth, ward， hospitalization time, discharge time, past history， the use of antibiotics, mechanical ventilation, abdominal drainage and other information were collected. The bacteria in sputum samples cultured with Bauman Acinetobacter. 40 cases were randomly divided into observation group and control group. Results The mechanical ventilation, combined with antibiotics, hospitalization time, hospitalization history, abdominal drainage of observation group and the control group were different (P0. 05) . The positive rate of Bauman Acinetobacter of observation group and the control group were different (P0. 05) . Conclusions The sputum culture samples detected Acinetobacter bacilli can effectively predict the ventilator associated pneumonia and has high clinical application value. Keyword： Sputum cuHure; Acinetobacter Bauman; Ventilator associated pneumonia; Feasibility; Received：