Medium-sized City Downtown Hospital With Chronic Obstructive Pulmonary Disease With Acute Exacerbation Of The Etiology Investingation

Objective : Analysis of medium-sized city downtown hospital with chronic obstructive pulmonary disease with acute exacerbation (acute embittering chronic obstructive pulmonary disease symptom ) etiology and distribution of clinical outcome. ; in our hospital from November 2006 to April 2007 to 172 hospitalized three patients with AECOPD distribution of the pathogen and susceptibility test results were analyzed.Results : 172-three patients with AECOPD 43 were sputum culture growth of bacteria or fungi, which were separated were separated 47, The results showed that Klebsiella pneumoniae, Pseudomonas aeruginosa isolates of G major pathogens, accounting for 14% Gram-positive cocci, mainly Streptococcus pneumoniae bacteria both 8.7% and 2.7% mixed infections. Fungi higher detection rate, accounting for 8.7% (but non-clinical practice proved fungal infection, that is often respiratory bacteria Habitat) support Chlamydia trachomatis infections account for 81% of infections account for 81% and account for 81% of the virus.Conclusion : Medium-sized Cities in downtown hospitals treated patients with the symptom of lower respiratory tract bacterial infection common to Streptococcus pneumoniae, followed by Klebsiella pneumoniae, Pseudomonas aeruginosa and Klebsiella pneumoniae bacteria lost to a lower rate of drug resistance, Pseudomonas aeruginosa and Streptococcus pneumoniae resistance is higher. Mycoplasma infection chlamydia more anxious HIV infection . After the empirical treatment of patients with symptom improvement rate of 87.6% and the detection of pathogens withthe rate . So, the passage of this investigation for a reasonable choice averaged empirical treatment with certain clinical significance .