本文選題：老年　切入點(diǎn)：卒中　出處：《中華醫(yī)院感染學(xué)雜志》2017年06期 　論文類型：期刊論文

【摘要】：目的研究三種入院方式致老年卒中患者相關(guān)性肺炎多藥耐藥特點(diǎn),總結(jié)干預(yù)措施,以期避免交叉感染、提高抗感染治療效果和醫(yī)院質(zhì)量。方法選取2014年1月-2016年1月老年卒中相關(guān)性肺炎患者707例,按照入院方法,門診入院患者373例為門診入院組,外院轉(zhuǎn)入者74例為外院轉(zhuǎn)入組,院內(nèi)轉(zhuǎn)入者260例為院內(nèi)組,比較三組耐藥菌陽性率、院內(nèi)感染和耐藥菌種的前四位分布。結(jié)果耐藥菌陽性率,外院轉(zhuǎn)入組、門診轉(zhuǎn)入組高于院內(nèi)組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),且外院轉(zhuǎn)入組高于門診轉(zhuǎn)入組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);耐藥菌院內(nèi)感染率,外院轉(zhuǎn)入組、院內(nèi)組高于門診轉(zhuǎn)入組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),外院轉(zhuǎn)入組與院內(nèi)組比較,差異無統(tǒng)計(jì)學(xué)意義;8~15d,三組耐藥菌陽性率高于1~7d,≥16d高于8~15d,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);外院轉(zhuǎn)入組、院內(nèi)組鮑曼不動(dòng)桿菌感染率高于其他耐藥菌種,門診轉(zhuǎn)入組肺炎克雷伯桿菌高于其他耐藥菌種,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對(duì)于老年卒中相關(guān)性肺炎來說,門診轉(zhuǎn)入、外院轉(zhuǎn)入者多藥耐藥陽性率最高,尤其是外院轉(zhuǎn)入,而加強(qiáng)此類人群耐藥菌種監(jiān)測、篩查,采取有效隔離、選取適宜抗菌藥物等措施能有效避免院內(nèi)交叉感染、提高治療效果。
[Abstract]:Objective to study the characteristics of multidrug resistance (MDR) in elderly patients with stroke induced by three admission modes, and to summarize the intervention measures to avoid cross infection. Methods from January 2014 to January 2016, 707 elderly patients with apoplexy associated pneumonia were selected. According to the admission method, 373 outpatients were admitted as outpatient admission group, 74 patients were transferred from outside hospital to hospital group. The positive rate of drug-resistant bacteria and the first four distribution of nosocomial infection and drug-resistant bacteria were compared among the three groups. Results the positive rate of drug-resistant bacteria was higher in out-patient group than in hospital group, but higher in out-patient group than in hospital group. The difference was statistically significant (P 0.05), and the rate of nosocomial infection of drug-resistant bacteria was higher in the outside hospital group than in the out-patient group, and the difference was statistically significant. The difference was statistically significant (P 0.05). There was no significant difference between the outside hospital group and the hospital group for 815 days. The positive rate of drug resistant bacteria in the three groups was higher than 1 7 days, 鈮，

本文編號(hào)：1612120