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中华肺部疾病杂志(电子版) ›› 2024, Vol. 17 ›› Issue (03) : 478 -480. doi: 10.3877/cma.j.issn.1674-6902.2024.03.030

短篇论著

铜绿假单胞菌感染肺炎菌血症危险因素及耐药性分析
王蕊1, 林先萍1, 李盼盼1   
  1. 1. 570100 海口,海南医学院第一附属医院急诊ICU
  • 收稿日期:2024-02-17 出版日期:2024-06-25

Analysis of risk factors and resistance of Pseudomonas aeruginosa infection with pneumonia bacteremia

Rui Wang, Xianping Lin, Panpan Li   

  • Received:2024-02-17 Published:2024-06-25
引用本文:

王蕊, 林先萍, 李盼盼. 铜绿假单胞菌感染肺炎菌血症危险因素及耐药性分析[J]. 中华肺部疾病杂志(电子版), 2024, 17(03): 478-480.

Rui Wang, Xianping Lin, Panpan Li. Analysis of risk factors and resistance of Pseudomonas aeruginosa infection with pneumonia bacteremia[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2024, 17(03): 478-480.

随着医学技术的发展,抗菌药物种类增加,免疫抑制剂广泛使用,病原菌种类不断增加,致多重耐药菌感染率逐年上升[1]。铜绿假单胞菌(Pseudomonas aeruginosa, PA)是常见非发酵菌革兰阴性条件致病菌,具有耐药谱广、耐药率高、机制复杂等特点,通过生物膜增加院内感染发生率[2,3]。PA引起肺炎占呼吸道感染的78.00%,具有病情重,控制困难、医疗费用高昂及易引发血流感染等特点[4]。菌血症在PA肺炎常见,是导致PA肺炎死亡的重要原因[5]。年龄、伴有基础疾病等是PA肺炎发生菌血症危险因素,无个体差异性,难以预防[5]。炎症因子是菌血症发生的影响因素,在PA肺炎菌血症中报道尚少[6]。本文对我院收治的117例铜绿假单胞菌感染肺炎患者菌血症危险因素及耐药性进行分析,报道如下。

表1 两组PA肺炎临床特征资料比较(±s)
表2 Logistic回归分析PA肺炎菌血症影响因素
表3 PA肺炎患者耐药性分析
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