本文選題：重癥監(jiān)護(hù)病房　切入點(diǎn)：導(dǎo)管置入　出處：《中華醫(yī)院感染學(xué)雜志》2017年16期 　論文類型：期刊論文

【摘要】：目的研究重癥監(jiān)護(hù)病房患者導(dǎo)管相關(guān)性感染的危險(xiǎn)因素及其臨床防治措施,為臨床治療提供參考依據(jù)。方法選取2014年10月-2016年12月醫(yī)院重癥監(jiān)護(hù)病房收治的695例采用留置導(dǎo)管的患者進(jìn)行研究,分析重癥監(jiān)護(hù)病房住院患者導(dǎo)管相關(guān)性感染的發(fā)生情況,以及感染病原菌的分布和危險(xiǎn)因素,并總結(jié)相應(yīng)的防治措施。結(jié)果 695例患者中發(fā)生感染的患者共103例,感染率為14.82%;共檢出病原菌154株,主以革蘭陰性菌為主,共83株占53.90%;logistic多元回歸分析顯示,年齡≥60歲、急性生理與慢性健康評(píng)分(APACHEⅡ評(píng)分)≥17分、血清白蛋白含量30g/L、入住重癥監(jiān)護(hù)病房時(shí)間≥14d,導(dǎo)管留置時(shí)間≥7d,合并基礎(chǔ)疾病均是患者發(fā)生導(dǎo)管相關(guān)性感染的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論重癥監(jiān)護(hù)病房患者發(fā)生導(dǎo)管相關(guān)性感染的主要病原菌為革蘭陰性菌,誘發(fā)患者發(fā)生感染的危險(xiǎn)因素較多,臨床治療過程中應(yīng)根據(jù)相應(yīng)情況給予具體的防治措施以減少該類患者的感染。
[Abstract]:Objective to study the risk factors and clinical prevention and treatment of catheter-related infection in patients in intensive care unit (ICU). Methods from October 2014 to December 2016, 695 patients with indwelling catheter were selected to study the incidence of catheter-related infection in intensive care unit (ICU). The distribution and risk factors of pathogenic bacteria were also analyzed, and the corresponding preventive measures were summarized. Results 103 of 695 patients were infected, the infection rate was 14.82%, 154 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria. Logistic multiple regression analysis of 83 strains (53.90%) showed that age 鈮，

本文編號(hào)：1591262