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    Title: 探討齒源性感染與肺炎感染之病原菌關係
    Other Titles: Relationship between odontogenic infections and bacterial pneumonia
    Authors: 王惠珍
    Contributors: 輔英科技大學 老人長期學位學程
    Keywords: 齒源性感染;院內肺炎感染;病原菌;dental orign infection;nosocomial pneumonia infection;pathogenic bacteria
    Date: 2003
    Issue Date: 2010-11-18 15:37:59 (UTC+8)
    Abstract: 為瞭解齒源性感染與院內肺炎感染間之相關,本研究回溯式統計2001年1月至2002年12月期間834位院內肺炎感染病人資料,以卡方統計檢定分析整理。結果如下,於住院第一週內菌種及肺炎感染菌種之分析中,可確定為口腔之病原菌者,有Streptococcus  viridans(7株,0.8%),Diphtheroid  bacilli(3株,0.4%),Peptostreptococcus(1株,0.1%),與Prevotella oralis(2株,0.2%)。可能來自口腔或院內肺炎感染之病原菌者,有Staphlococcus aureus(146株,17.5%)、Streptococcus pneumoniae(9株,1.1%),Candida(69株,8.3%)。伺機菌中以Pseudomonas aureus(373株,44.7%)居首,其次Acinetobacter (109株,13.1%)及Klebsiella(101株,12.1%)。由於細菌易經肺吸入或透過侵入性醫療措施裝置,使口咽細菌移位或腸道細菌散播至身體的其他部位而造成感染。診斷為心臟血管疾病及腦血管病變之個案有較多吸入性肺炎機會且年齡層較長,而非吸入性肺炎個案之年齡層較輕,亦較多使用侵入性醫療措施裝置。使用呼吸器(p<0.0001),氣切管套(p<0.0001),留置導尿管(p=0.0045),此三項具有統計學上之意義。
    To understand the relationship of dental origin infection and nosocomial pneumonia infection, this retrospective statistic investigated 834 nosocomial pneumonia infected patients during the period from January 2001 to December 2002. We analyzed those data with Chi-square analysis methods. From the analysis of floras and pathogens collected from in-patients during the first week, it can be determined that the dental pathogenic bacteria include Streptococcus viridans(7,0.8%), Diphtheroid bacilli(3,0.4%), Petpstreptococcus(1,0.1%) and Prevotella oralis(2,0.2%).  Possible oral origin or nosocomial pathogenic bacteria are Staphylococcus aureus(146,17.5%), Streptococcus pneumoniae(9,1.1%), and  Candida(69,8.3%).  Among opportunity bacteria that cause pneumonia, Pseudomonas aureus(373,44.7%) is in the fast, and next are  Acinetobacter(109,13.1%) and  Klebsiella(101,12.1%).  Oral and intestinal floras could move to other parts of human bodies through aspiration or invading medical treatments and become the pathogens causing pneumonia. The results indicated that the patients suffered from cardiovascular diseases and cerebrovascular pathological changes were prone to aspiration pneumonia and is older. This study was found that more patients of non-aspiration pneumonia is younger and more patients of non-aspiration pneumonia used urine catheters, tracheal catheters, and automatic ventilators. The use of automatic ventilator (p<0.0001), tracheal catheter (p<0.0001), and urine catheter (p=0.0045) has statistically significant correlation between the invading medical treatments and pneumonia.
    Relation: 高雄醫學大學 口腔衛生科學研究所碩士在職專班 碩士論文
    Appears in Collections:[高齡及長期照護事業系] 博碩士論文

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