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Respiratory tract infection in critically ill surgical patients Investigation

From the people's attention; E. cloacae is able to quickly gain access to antibiotics, especially the p-lactam antibiotic resistance, only the Thai Sulperazon their energy and have higher antibacterial activity. This is not only the inherent ease with these bacteria have acquired resistance. But also in critical condition critically ill surgical patients, lower the resistance, a variety of more invasive operations and long-term use of broad spectrum of antibiotics; the same time, that antibiotics can prevent infection may also induce resistant strains of bacteria is a major nosocomial infection difficult to control One of the reasons. 8O 2O century since, G nosocomial infections caused by bacteria increasing year by year, MRS separation rates are on the rise, nosocomial infection has become one of the serious problems facing this group of survey MRS separation rate is very high, accounting for 74 G .1. MRSA accounted for SA, 8O. 6, consistent with national coverage D. r2. MRS strong resistance, only to vancomycin and sensitive to vancomycin to its high rate, there is no domestic or go to a vancomycin-resistant MRSA or MRSE vancomycin appeared, but with vancomycin expand the scope of clinical applications. Increased frequency of application, the possibility of vancomycin resistance induced by increasing l_8]. Facing this challenge, as far as possible to reduce the clinical application of vancomycin for the MTSA or MRSE infections, can be combined with vancomycin and rifampin, Zco, chloramphenicol, sulfonamides, or the top three in order to enhance efficacy, for as soon as possible cure,[link widoczny dla zalogowanych], as soon as possible off vancomycin. MRS should also strengthen the monitoring, the establishment of adequate and reasonable hand-washing system, especially health care personnel on the carrier can be topical mupirocin The survey shows critically ill surgical patients with respiratory tract Candida fungal infection is most common especially in the highest proportion of Candida albicans, accounting for 55.4% of fungi, consistent with those reported 0]. In addition to the above reasons, may be even stronger with its virulence,[link widoczny dla zalogowanych], since the fungus Candida albicans is bipolar, that bud phase and mycelial phase Candida, under certain conditions, converted to virulence when Hyphal enhanced can affect humans. In addition, the cell wall of mannan, glucan and glucan protein structure of cellulose so that it has adsorbed, anti-phagocytic ability, it can also secrete a variety of proteases and toxins can promote the adhesion, invasion and inflammatory necrosis l_9】. Summing up operation, the current respiratory tract infection in critically ill surgical patients is still G-pathogenic bacteria based, multi-drug resistance are the major pathogens,[link widoczny dla zalogowanych], which makes doctors choose antibiotics empirically,[link widoczny dla zalogowanych], it is extremely difficult. Therefore, respiratory tract infection in critically ill surgical patients empirical treatment should be more room under the course of nosocomial infection pathogen monitoring results on use of antibiotics, and microbiological examination should be conducted as soon as possible to guide clinical treatment. Reduce blindness.

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