本文關(guān)鍵詞： 外科重癥監(jiān)護病房 醫(yī)院獲得性血流感染 病死率 危險因素　出處：《中華醫(yī)院感染學(xué)雜志》2016年10期 　論文類型：期刊論文

【摘要】：目的了解外科重癥監(jiān)護病房(SICU)患者醫(yī)院獲得性血流感染病原菌分布及患者預(yù)后,并分析死亡的危險因素,為臨床抗感染治療提供指導(dǎo)。方法收集醫(yī)院SICU 2004-2015年確診為醫(yī)院獲得性血流感染的111例患者的臨床資料,對其病原菌分布、預(yù)后進行描述性研究,對導(dǎo)致患者死亡的危險因素實施單因素、多因素logistic回歸分析;采用SPSS17.0軟件對數(shù)據(jù)進行統(tǒng)計分析。結(jié)果 111例血流感染患者的送檢標(biāo)本中共分離出病原菌180株,其中革蘭陰性菌84株占46.7%、革蘭陽性菌56株占31.1%、真菌40株占22.2%;患者住院期間病死率為44.1%;APHACHEⅡ≥18分、凝固酶陰性葡萄球菌感染、鮑氏不動桿菌感染及多藥耐藥菌感染是患者死亡的獨立危險因素(P0.05)。結(jié)論 SICU患者醫(yī)院獲得性血流感染病原菌種類多樣、預(yù)后不佳,臨床應(yīng)加強病原菌監(jiān)測,預(yù)防為先,并及時采取有效的抗感染策略。
[Abstract]:Objective to investigate the pathogenic bacteria distribution and prognosis of nosocomial blood flow infection in surgical intensive care unit (ICU) patients, and to analyze the risk factors of death. Methods the clinical data of 111 patients diagnosed as nosocomial blood flow infection from 2004 to 2015 were collected, and the distribution and prognosis of pathogenic bacteria were studied. Single factor, multivariate logistic regression analysis and SPSS17.0 software were used to analyze the data. Results A total of 180 strains of pathogenic bacteria were isolated from blood stream infection samples. Among them, 84 Gram-negative bacteria accounted for 46.7%, 56 Gram-positive bacteria accounted for 31.1and 40 fungi accounted for 22.2.The mortality during hospitalization was 44.1%, Apache 鈪，

本文編號：1550371