中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (02): 112-115.

• 专题笔谈 • 上一篇    下一篇

围手术期肺部感染细菌学的变迁及对策

虞文魁,朱维铭   

  1. 南京大学医学院临床学院  南京军区南京总医院普通外科研究所,江苏南京210002
  • 出版日期:2011-02-01 发布日期:2011-05-30

  • Online:2011-02-01 Published:2011-05-30

摘要:

呼吸道感染已成为手术病人并发感染的首位原因,其病原菌的变迁是动态的,目前革兰阴性(G-)杆菌是肺部感染的主要致病菌,革兰阳性(G+)菌和真菌的发病率在逐年增加。随着广谱抗生素的大量应用,主要致病菌耐药性日趋严重。积极应对策略包括:科学、合理应用抗生素以及采取各种有效措施,降低围手术期院内肺部感染的发生率。

关键词: 呼吸道感染, 细菌病原, 围手术期

Abstract:

Perioperative respiratory tract infections: the changing nature and strategy against bacterial pathogens        YU Wen-kui,ZHU Wei-ming. Research Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, Medical College of Nanjing University, Nanjing 210002, China
Corresponding  author :ZHU Wei-ming, E-mail: juwiming@yahoo.com.cn
Abstract    Respiratory tract infection is the most common infectious complication in perioperative period. Pathogens causing respiratory tract infection change continuously. Now, Gram-negative bacteria is still the most common pathogen for respiratory tract infection. Incidence of Gram-positive bacterial and fungal infection is also increasing gradually. Antibiotic abuse causes increasing problem of bacterial resistance to antimicrobial treatment. Strategies to reduce the emergence of antibiotic-resistant bacteria include not only prescribing antibiotics judiciously and properly, but also various measures to reduce the incidence of perioperative nosocomial respiratory infections.

Key words: respiratory tract infection; , bacteria pathogen; , perioperative period