74 .国立医院社区获得性肺炎分离菌对抗生素的敏感性及抗生素方案对药敏试验的适宜性

Trang Thanh Trung, Vu Khanh Linh, Bui Son Nhat, Le Thi Luyen
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引用次数: 1

摘要

摘要:社区获得性肺炎(CAP)是临床常见的感染性疾病。本研究的目的是描述分离细菌对抗生素的敏感性,并分析CAP患者进行细菌药敏试验(DST)后抗生素治疗方案的适宜性。在国立74医院进行回顾性研究,在筛选2021年前6个月住院的CAP患者病历后,将32例分离出致病菌的患者纳入研究。结果显示,CAP患者分离出致病菌的比例较低。分离菌9株,除CAP常见菌外,还分离出铜绿假单胞菌、金黄色葡萄球菌等医院获得性肺炎常见菌。不同的菌株用不同的抗生素进行试验,尽管分离出的细菌相同,但对抗生素的敏感性也不同。部分医师未注意到DST结果在抗生素治疗选择中的作用,如治疗方案不适合DST结果,占较高比例。关键词:社区获得性肺炎;药敏试验;
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The Susceptibility to Antibiotics of Isolated Bacteria and the Suitability of Antibiotic Regimens to Drugs Susceptibility Test for Patients with Community-acquired Pneumonia at National Hospital 74
Abstract: Community-acquired pneumonia (CAP) is a common infectious disease in clinical practice. The objective of the study was to describe the susceptibility to antibiotics of isolated bacteria and to analyze the suitability of antibiotics regimens for treatment after having a drugs susceptibility test (DST) to bacteria in CAP patients. A retrospective study was conducted at National Hospital 74, after screening the medical records of CAP patients hospitalized in the first 6 months of 2021, 32 patients with isolated pathogenic bacteria were included in the study. The results revealed that the percentage of CAP patients who isolated pathogenic bacteria was low. There were 9 isolations of isolated bacteria, in addition to the common bacteria in CAP, also including isolations of bacteria that commonly cause hospital-acquired pneumonia such as P. aeruginosa and S. aureus. Different strains were tested with different antibiotics and had different antibiotic susceptibility despite the same isolations of bacteria. Some physicians have not noticed the role of DST results in the choice of antibiotics for treatment, such as treatment regimens are not suitable for the results of DST, accounting for a high percentage. Keywords: Community-acquired pneumonia, drugs susceptibility test.  
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