本文選題：重癥監(jiān)護(hù)病房 + 導(dǎo)管相關(guān)性感染�。� 參考：《中華醫(yī)院感染學(xué)雜志》2016年05期

【摘要】：目的探討重癥監(jiān)護(hù)病房(ICU)住院患者發(fā)生導(dǎo)管相關(guān)性感染的病原菌分布與危險(xiǎn)因素分析,為降低ICU導(dǎo)管相關(guān)性感染率提供依據(jù)。方法回顧性分析2012年9月-2015年8月醫(yī)院入住ICU的2 000例患者,分析ICU住院患者導(dǎo)管相關(guān)性感染病原菌分布特點(diǎn)及相關(guān)危險(xiǎn)因素,采用SPSS 16.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 2 000例ICU患者發(fā)生導(dǎo)管相關(guān)性感染73例,發(fā)生率為3.65%,共檢出病原菌116株,檢出革蘭陰性菌、革蘭陽(yáng)性菌、真菌分別占57.76%、37.07%、5.17%;單因素分析顯示,ICU患者年齡≥65歲、APACHEⅡ評(píng)分≥17分、ICU住院時(shí)間≥14d、血清白蛋白含量30g/L、留置時(shí)間≥1周等是發(fā)生導(dǎo)管相關(guān)性感染的危險(xiǎn)因素(P0.05);經(jīng)logistic回歸分析發(fā)現(xiàn),年齡≥65歲、APACHEⅡ評(píng)分≥17分、ICU住院時(shí)間≥14d、血清白蛋白含量30g/L、留置時(shí)間≥1周是ICU患者發(fā)生導(dǎo)管相關(guān)性感染的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論 ICU住院患者導(dǎo)管相關(guān)性感染病原菌主要為革蘭陰性菌,感染相關(guān)危險(xiǎn)因素較多,應(yīng)采取相應(yīng)預(yù)防措施。
[Abstract]:Objective to investigate the distribution and risk factors of catheter-related infection in inpatients with ICU in intensive care unit (ICU). Methods A retrospective analysis was made of 2 000 patients admitted to ICU from September 2012 to August 2015. The distribution of pathogenic bacteria and related risk factors of catheter-related infection in ICU inpatients were analyzed. SPSS 16.0 software was used for statistical analysis. Results 73 cases (3.65%) of catheter-associated infection were found in 2 000 patients with ICU. 116 strains of pathogenic bacteria were detected, gram-negative bacteria and gram-positive bacteria were detected. The single factor analysis showed that the age 鈮，

本文編號(hào)：1956485