重症监护病房患者气管切开术后肺部感染68例临床分析（Clinical analysis of 68 cases of pulmonary infection after tracheotomy in intensive care unit）.doc

重症监护病房患者气管切开术后肺部感染68例临床分析（Clinical analysis of 68 cases of pulmonary infection after tracheotomy in intensive care unit） Clinical analysis of 68 cases of pulmonary infection after tracheotomy in intensive care unit This article source: paper / Authors: Zhang Baomin, Sun Yan, Zhang Zhiping, Xu Jilai, Pan Liping [Abstract] Objective To investigate the pathogens and drug resistance of pulmonary infection after tracheotomy in patients with intensive care unit (ICU), so as to provide help for clinical empiric administration. Methods sputum culture and drug sensitivity of 68 patients with pulmonary infection after tracheotomy were retrospectively analyzed in icu. Results a total of 97 strains of pathogenic bacteria were isolated, among which gram negative bacilli (GNB) accounted for 67.01%, gram positive cocci (GPC) accounted for 27.84%, fungi accounted for 5.15%. Pseudomonas aeruginosa ranked first, producing 6 strains of extended spectrum beta lactamases (ESBLs), and 5 strains of methicillin resistant Staphylococcus aureus (MRSA). The isolated pathogenic bacteria were resistant to some common antibiotics, and they were multidrug resistant. Pulmonary infection in tracheotomy patients is closely related to the basic diseases, the use of ventilators, coma, and the irrational use of antibiotics. Conclusion the pulmonary infection in ICU tracheotomy patients is the result of many factors interaction. The pathogenic bacteria are mainly GNB, and clinical attention should be paid to the examination of pathogenic bacteria and the monitoring of drug resistance, and rational selection of antibiotics. Keywords pulmonary infection; Tracheotomy; pathogen; intensive care unit (ICU); Abstract: objective to investigate the distribution and drug resistance of pathogen from ICU patients with lung infections following tracheal incision. methods were complicated with lung 68 in-patients infections following tracheal incisions and a retrospective analysis of the cultured pathogenic microorga