本文選題：多藥耐藥鮑氏不動(dòng)桿菌 + 血流感染��； 參考：《中華醫(yī)院感染學(xué)雜志》2017年20期

【摘要】：目的分析多藥耐藥鮑氏不動(dòng)桿菌(MDRAB)血流感染的特征,篩選MDRAB血流感染的危險(xiǎn)因素。方法選取2013年8月-2016年12月于醫(yī)院就診的294例血流感染患者,其中非MDRAB血流感染227例,MDRAB血流感染67例,分析總結(jié)MDRAB血流感染患者的臨床特征,并采用多因素回歸分析方法分析MDRAB血流感染危險(xiǎn)因素。結(jié)果單因素分析顯示年齡≥60歲、合并呼吸衰竭、合并低蛋白血癥、合并臟器功能衰竭、進(jìn)入ICU、APACHEⅡ評(píng)分20分、接受機(jī)械通氣、預(yù)防性應(yīng)用抗菌藥物、深靜脈侵入性操作為MDRAB血流感染發(fā)生的危險(xiǎn)因素(P0.05);多因素結(jié)果顯示,合并臟器功能衰竭、進(jìn)入ICU、APACHEⅡ評(píng)分、接受機(jī)械通氣、預(yù)防性應(yīng)用抗菌藥物、深靜脈侵入性操作是MDRAB感染獨(dú)立危險(xiǎn)因素(P0.05);88株MDRAB對(duì)阿莫西林、頭孢呋辛、阿米卡星等常用抗菌藥物耐藥率較高,對(duì)米諾環(huán)素、頭孢哌酮舒巴坦耐藥率較低。結(jié)論 MDRAB對(duì)米諾環(huán)素和頭孢哌酮舒巴坦較敏感,建議重視MDRAB血流感染的防治工作,選擇高敏感性藥物以提高預(yù)后效果。
[Abstract]:Objective to analyze the characteristics of multidrug resistant Acinetobacter baumannii (MDRAB) blood stream infection and to screen the risk factors for MDRAB blood stream infection. Methods A total of 294 patients with blood flow infection were selected from August 2013 to December 2016. Among them, 227 cases were non-MDRAB infection and 67 cases were non-MDRAB blood flow infection. The clinical features of patients with MDRAB blood flow infection were analyzed and summarized. Multivariate regression analysis was used to analyze the risk factors of MDRAB blood flow infection. Results univariate analysis showed that age 鈮，

本文編號(hào)：1971559