鲍曼不动杆菌感染的呼吸机相关肺炎20例

蔡小狄; 曹云; 陈超; 钱甜; 王传清

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微生物与感染 ›› 2008, Vol. 3 ›› Issue (1) : 27-29.

病例分析

鲍曼不动杆菌感染的呼吸机相关肺炎20例

蔡小狄; 曹云; 陈超; 钱甜; 王传清

作者信息 +

Acinetobacter baumannii from ventilator-associated pneumonia in the NICU

CAI Xiao-di; CAO Yun; CHEN Chao; QIAN Tian; WANG Chuan-qing

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摘要

目的了解我院NICU内鲍曼氏不动杆菌感染呼吸机相关肺炎的情况，探讨有效预防和控制的该类感染的措施。方法收集我院NICU内2006.1-2007.2之间发生呼吸相关肺炎病通过细菌培养确定为鲍曼氏不动杆菌感染的患儿的临床资料以及该菌的药敏试验结果进行分析。结果鲍曼氏不动杆菌是呼吸机相关肺炎的主要致病菌之一，其流行情况复杂，并且出现了耐碳青酶烯类的菌株感染，可造成严重的不良后果。结论预防该菌在NICU内导致感染需要引起临床工作者更多的重视，加强对其定植情况的监测是预防其感染和流行的重要措施，对该菌开展及分子流行病学的深入研究将有助于指导NICU内NI防治。

Abstract

Objective By analyzing Acinetobacter baumannii of Ventilator-associated pneumonia in NICU, we try to propose the strategy for prevention. Methods We collect the clinical characteristics and drug sensitivity results of the infants who suffered Acinetobacter baumannii of Ventilator-associated pneumonia from Jan 2006 to Feb 2007. Results Acinetobacter baumannii is the main pathogen of VAP , the epidemiology of which is complex. And the carbapenem-resistance strain was isolated from the infant in NICU, which will cause a worse prognosis. Conclusion To prevent Acinetobacter baumannii of VAP in NICU needs more attention of medical workers. Improved the surveillance on this kind of bacteria colony is important to prevent it and a further molecular epidemiology research on colonizing strains, especially the carbapenem-resistance strain will direct the prevention of it NICU.