Bacteria Detection and Analysis of Diagnosis and Treatment of Neonatal Community Acquired Severe Pneumonia

LI Jian-ling; LI Chun-liang

doi:10.14033/j.cnki.cfmr.2016.36.007

Abstract：Objective:To investigate the detection of bacteria and treatment situation of neonatal community acquired severe pneumonia.Method:The sterile culture medium was used for the bacterial culture of sputum and venous blood samples.Empirical antibiotics treatment was given to the patients with clinical evidence of bacterial infection before the pathogeny test results come out.According to the culture and drug susceptibility test results to guide the use of antibiotics. Anti-inflammatory,organ function support and other individualized treatment for complications were given to the patients.Result:Among the 120 cases,68 cases (56.67%) were with positive sputum bacterial culture results,there were 47(56.63%) gram-negative bacteria strains,36(43.37%) gram-positive bacteria strains. Gram-negative bacteria was mainly 18 strains(21.69%) of e.coli,16 strains(19.28%) of klebsiella pneumonia.Gram-positive bacteria was mainly 17 strains (20.48%) of streptococcus pneumoniae,8 strains(9.64%) of methicillin sensitive staphylococcus aureus.8 cases(6.67%) of the 120 cases were with blood culture positive.83 cases(69.17%) were cured,20 cases(16.67%) were turned to the superior hospital for treatment,15 patients(12.50%) were improved and left hospital, 2 cases(1.67%) died.The death cases were all with severe complications.Conclusion:The bacteria detection rate of neonatal severe pneumonia is high,the individualized treatment of complications can’t be ignored in order to improve the saving success rate.