摘要
目的探讨急诊重症监护病房(EICU)患者肺部感染发生的相关影响因素,为临床治疗肺部感染提供依据。方法选取医院2009年12月-2012年9月EICU收治的293例患者为研究对象,针对患者肺部感染的相关因素进行统计分析和研究。结果 293例EICU患者中发生肺部感染44例,感染率为15.02%;年龄<30岁,感染率为8.33%;年龄>60岁,感染率高达20.73%,随着患者年龄的不断升高,肺部感染的发病率呈现升高趋势;感染病原菌种类中革兰阴性杆菌占70.44%、革兰阳性球菌占14.47%、真菌占15.09%。结论 EICU患者肺部感染发生率随着患者年龄的升高呈现上升趋势,临床实践的过程中应加强患者病原菌监测,同时采用有针对性的预防肺部感染的临床手段和措施。
OBJECTIVE To explore the related risk factors of pulmonary infections in the patients in emergency intensive care unit （EICU） so as to guide the clinical treatment of pulmonary infections. METHODS A total of 293 cases of patients , who were treated in the EICU from Dee 2009 to Sep 2012, were enrolled in the study, then the related factors of the pulmonary infections were statistically analyzed. RESULTS Of the 293 cases of EICU patients, there were totally 44 cases diagnosed with pulmonary infections, and ：the overall incidence of pulmonary infections was 15.02%. The incidence of pulmonary infections was 8.33% in the patients aged less than 30 years old, and 20.73% in the patients aged more than 60 years old; with the rising of the patient＇s age, the incidence of pulmonary infections also showed a rising trend. Of all the pathogens causing infections, the gram-negative bacilli accounted for 70. 44~, the gram negative bacilli 14. 47%, fungi 15. 09%. CONCLUSION The incidence of pulmonary infections in the EICU patients increases with the patient＇s age. We should pay attention to the monito- ring of pathogens in the patients in clinical practice and take targeted clinical strategies to prevent the pulmonary infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第12期2809-2810,共2页
Chinese Journal of Nosocomiology
关键词
急诊重症监护病房
患者
肺部感染
感染因素
调查分析
Emergency intensive care unit
Patient
Pulmonary infection
Factor of infection
Investigation andanalysis
