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目的:探讨老年人尿路感染的临床特点,以助提高临床诊治水平。方法:对240例尿路感染进行回顾性分析。结果:老年人尿路感染临床表现不典型为多。病原菌以革兰阴性杆菌为主,占56.7%。常见致病菌为大肠埃希菌、克雷伯菌属、肠杆菌属、变形杆菌、不动杆菌属、假单胞菌属。革兰阳性球菌占20.8%。结论:临床上对老年疑诊有尿路感染者要做细菌耐药性检测,根据其结果合理用药,及时发现和纠正易患因素。
Objective: To investigate the clinical features of urinary tract infection in the elderly to help improve the level of clinical diagnosis and treatment. Methods: A retrospective analysis of 240 cases of urinary tract infection. Results: The clinical manifestations of urinary tract infection in the elderly were not typical. Gram-negative bacteria mainly bacilli, accounting for 56.7%. Common pathogens are Escherichia coli, Klebsiella, Enterobacter, Proteus, Acinetobacter, Pseudomonas. Gram-positive cocci accounted for 20.8%. Conclusion: Clinically, elderly people with suspected urinary tract infection should be tested for bacterial resistance, according to the results of rational use of drugs, timely detection and correction of risk factors.