The Hospitalized Elderly Patients With The Distribution Of Pathogens, Drug Resistance And Treatment Outcome Analysis Of The Ninth Hospital Of Wuxi City In2013

OBJECTIVE: Observation and analysis of the distribution of pathogenic bacteria,drug resistance patients and treatment outcome of elderly in our hospital infection.Analysis of its causes, to provide the basis for clinical diagnosis and treatment.METHODS: Retrospective analysis of our hospital from January1,2013toDecember29,2013were115cases of elderly patients. Bacterial was determinated by K-Bmethod, MIC method or E-test method, and statistical analysis using the WHONET5.5software.RESULTS: To tally121strains including81strains (66.12%) of Gram-negativebacilli and40strains (33.38%) of Gram-positive cocci were isolated and collected in thedepartment of gerontology. Among them, the highest detection rate of pathogen wasEscherichia coli, accounting for32.23%, followed by Staphylococcus epidermidis (14.05%)and Staphylococcus aureus (9.92%). The resistance analysis showed, gram positivebacteria are highly resistant to most antibiotics, the resistance rate of gram negativebacteria to>40%. Aztreonam, ceftazidime, cefepime, meropenem and Amikacin five kindsof antibiotics were more sensitive, but other kinds of antimicrobial drug were resistance.CONCLUSIONS: Elderly inpatients with lung infection, coronary heart disease,cerebral infarction, malignant tumor is the main basis of disease, The gram negative bacilliinfection, drug resistance to many antibiotics higher rate of pathogens, and elderly patientshospitalized for long time, high cost, low cure rate compared with other groups, the distribution of pathogenic bacteria and drug resistance monitoring response.