急診科重癥患者醫(yī)院感染的危險因素調(diào)查
發(fā)布時間：2018-07-20 13:29
【摘要】：目的探討急診科重癥患者醫(yī)院感染的危險因素及預(yù)防措施。方法調(diào)查分析2007年1月~2008年12月急診科危重?fù)尵然颊呔驮\疾病、侵入性操作、醫(yī)院感染率、醫(yī)院感染危險因素、感染部位及感染菌群分布情況。結(jié)果急診科危重患者醫(yī)院感染率為18.8%,以下呼吸道感染率為最高,占61.0%;醫(yī)院感染危險因素為患者嚴(yán)重的基礎(chǔ)疾病、多種侵入性操作,廣譜抗菌藥物和皮質(zhì)激素的大量應(yīng)用等;醫(yī)院感染病原菌包括耐甲氧西林葡萄球菌(MRS)、腸球菌屬、產(chǎn)超廣譜β-內(nèi)酰胺酶(ESBLs)細(xì)菌、銅綠假單胞菌和鮑氏不動桿菌、白色假絲酵母菌等耐藥菌。結(jié)論必須采取切實(shí)的管理措施,預(yù)防和降低急診科患者醫(yī)院感染率。
[Abstract]:Objective to explore the risk factors and preventive measures of nosocomial infection in critical patients in emergency department. Methods from January 2007 to December 2008, we investigated and analyzed the disease, invasive operation, nosocomial infection rate, nosocomial infection risk factors, infection site and the distribution of bacterial flora in emergency department. Results the nosocomial infection rate of critical patients in emergency department was 18.8, the respiratory tract infection rate below was the highest (61.0%), the risk factors of nosocomial infection were serious basic diseases of patients, various invasive operations, extensive use of broad-spectrum antimicrobial agents and corticosteroids, etc. Nosocomial infection pathogens include methicillin-resistant Staphylococcus (Mrs), Enterococcus, extended-spectrum 尾 -lactamases (ESBLs) producing bacteria, Pseudomonas aeruginosa, Acinetobacter baumannii, Candida albicans and other drug-resistant bacteria. Conclusion effective management measures should be taken to prevent and reduce the nosocomial infection rate of emergency department patients.
【作者單位】： 武鋼第二職工醫(yī)院急診科;
【分類號】：R181.32
[Abstract]:Objective to explore the risk factors and preventive measures of nosocomial infection in critical patients in emergency department. Methods from January 2007 to December 2008, we investigated and analyzed the disease, invasive operation, nosocomial infection rate, nosocomial infection risk factors, infection site and the distribution of bacterial flora in emergency department. Results the nosocomial infection rate of critical patients in emergency department was 18.8, the respiratory tract infection rate below was the highest (61.0%), the risk factors of nosocomial infection were serious basic diseases of patients, various invasive operations, extensive use of broad-spectrum antimicrobial agents and corticosteroids, etc. Nosocomial infection pathogens include methicillin-resistant Staphylococcus (Mrs), Enterococcus, extended-spectrum 尾 -lactamases (ESBLs) producing bacteria, Pseudomonas aeruginosa, Acinetobacter baumannii, Candida albicans and other drug-resistant bacteria. Conclusion effective management measures should be taken to prevent and reduce the nosocomial infection rate of emergency department patients.
【作者單位】： 武鋼第二職工醫(yī)院急診科;
【分類號】：R181.32
【參考文獻(xiàn)】
相關(guān)期刊論文 前3條
1 常東;蔣偉;魏華;王春新;張云杰;糜祖煌;;多重耐藥銅綠假單胞菌產(chǎn)超廣譜β-內(nèi)酰胺酶基因研究[J];中華醫(yī)院感染學(xué)雜志;2006年09期
2 徐小平;高霞;池曉霞;蓋俊惠;艾輝;李卓成;;葡萄球菌屬和腸球菌屬耐藥性監(jiān)測研究[J];中華醫(yī)院感染學(xué)雜志;2006年03期
3 王繼東;周麗珍;宮玲玲;糜祖煌;秦玲;;銅綠假單胞菌的多重耐藥基因研究[J];中華醫(yī)院感染學(xué)雜志;2006年03期
【共引文獻(xiàn)】
相關(guān)期刊論文 前1條
1 黃支密;單浩;郭滿盈;陳榆;仵蕾;糜祖煌;諸葛青云;秦玲;;多重耐藥銅綠假單胞菌耐藥基因及親緣性分析[J];中華醫(yī)院感染學(xué)雜志;2007年04期
相關(guān)碩士學(xué)位論文 前1條
1 王斌;多重耐藥銅綠假單胞菌β-內(nèi)酰胺類耐藥基因研究[D];青島大學(xué);2007年
【二級參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 李學(xué)如,孟濤,王艷;銅綠假單胞菌耐藥機(jī)理研究進(jìn)展[J];國外醫(yī)藥.抗生素分冊;2004年03期
2 y嚭Ｇ，
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