中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (02): 112-115.
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虞文魁,朱维铭
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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
虞文魁,朱维铭. 围手术期肺部感染细菌学的变迁及对策[J]. 中国实用外科杂志, 2011, 31(02): 112-115.
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