本文關(guān)鍵詞：呼吸科住院感染患者菌種分布、相關(guān)因素及管理小組干預效果分析　出處：《解放軍預防醫(yī)學雜志》2017年01期 　論文類型：期刊論文

  更多相關(guān)文章： 院內(nèi)感染 呼吸科 菌種分布 危險因素 管理小組

【摘要】：目的 探討呼吸科住院感染患者菌種分布、相關(guān)因素及管理小組干預的效果。方法 選取2011年11月-2014年11月呼吸科住院患者528例作為研究對象,其中78例確診為院內(nèi)感染患者作為院內(nèi)感染組,450例未出現(xiàn)院內(nèi)感染患者作為非院內(nèi)感染組,統(tǒng)計院內(nèi)感染組感染部位、菌種分布,并對比院內(nèi)感染組和非院內(nèi)感染組一般資料;將院內(nèi)感染組隨機分為觀察組和對照組,各39例,對照組給予常規(guī)護理,觀察組在常規(guī)護理基礎給予管理小組干預,記錄干預后兩組管理質(zhì)量及護理滿意度。結(jié)果 本組78例院內(nèi)感染患者,73.1%為呼吸系統(tǒng)感染,15.4%為泌尿系統(tǒng)感染,11.5%為消化系統(tǒng)感染;78例患者共檢出148株病原菌,革蘭陰性菌占82.4%,以銅綠假單胞菌最為常見(34.5%)。多因素Logistic回歸分析表明,年齡≥60歲(OR=2.61)、侵入性操作(OR=5.68)、抗生素不合理應用(OR=2.23)、住院時間≥15 d(OR=1.71)是呼吸科患者院內(nèi)感染的獨立危險因素。觀察組干預后,醫(yī)院人員管理、環(huán)境管理、器械管理及護理滿意度評分均顯著高于對照組(P0.05)。結(jié)論 呼吸科住院感染患者以革蘭陰性菌感染為主,與年齡、侵入性操作、抗生素不合理應用、住院時間有關(guān),應加強呼吸科醫(yī)院感染管理。
[Abstract]:Objective to investigate the distribution of bacterial species in inpatients with respiratory infection. Methods from November 2011 to November 2014, 528 inpatients in respiratory department were selected as study objects. Among them, 78 cases of nosocomial infection were diagnosed as nosocomial infection group, 450 cases did not appear nosocomial infection group as non-nosocomial infection group, the infection site and the distribution of bacteria in nosocomial infection group were counted. The general data of nosocomial infection group and non-nosocomial infection group were compared. The nosocomial infection group was randomly divided into observation group (39 cases) and control group (39 cases). The control group was given routine nursing and the observation group was given management group intervention on the basis of routine nursing. Results 73.1% of the 78 patients with nosocomial infection were infected with respiratory system and 15.4% with urinary system infection. 11.5% is digestive system infection; A total of 148 strains of pathogenic bacteria were detected in 78 patients. Gram-negative bacteria accounted for 82.4. Pseudomonas aeruginosa was the most common pathogen. Multivariate Logistic regression analysis showed that Pseudomonas aeruginosa was the most common bacteria. The age 鈮，

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