摘要
目的 调查住院患者医院感染现状,主要病原菌分布及药物敏感性,分析相关危险因素,探讨护理干预措施.方法收集和采集2011 年6-9 月住院患者和送检菌株,分析主要病原菌及药物敏感性和医院感染的危险因素.结果 纳入的调查对象为7281 例,发生医院感染158 例,感染发生率为2.17%,送检样本以G-菌感染为主,G＋病原菌多药耐药率前2 位分别为金黄色葡萄球菌、凝固酶阴性葡萄球菌,G-病原菌多药耐药率前2 位分别为铜绿假单胞菌、肺炎克雷伯菌.年龄、糖尿病、插管操作、使用呼吸机是医院感染的独立危险因素（P＜0.05）.结论多药耐药菌是医院感染的主要致病菌,应进行药敏试验确定敏感药物,高龄、糖尿病、插管操作和使用呼吸机的患者发生医院感染风险高,强化预防护理措施能有效降低医院感染发生率.
Objective To investigate the status of nosocomial infections, mainly pathogen distribution and drug sensitivity,to analyze the relevant risk factors, and discuss nursing interventions. Methods Collected and gathered from June to September 2011 hospitalized patients and submission strains of pathogenic bacteria and drug sensitivity analysis of the main risk factors for infection and hospital. Results The survey was conducted on 7281 cases, 158 cases of nosocomial infection, the infection rate was 2.17%. Submission of samples based on G- infection. G＋ bacterial muhidrug resistant pathogens rate before two were Staphylococcus anreus, coagulase-negative staphylococci, G-multidrug resistant pathogens rate front two were pseudomonas aeruginosa, klebsiella pneumoniae bacteria. Age, diabetes, intubation, mechanical ventilation were independent risk factors for nosocomial infection （P〈0.05）. Conclusion Multidrug-resistant nosocomial infection is a major pathogen susceptibility testing should be carried out to determine sensitive drugs, ad- vanced age, diabetes, intubation and mechanical ventilation in patients with high risk of nosocomial infection, strengthening preventive care can effectively reduce incidence of nosocomial infection.
出处
《中国现代医生》
2014年第3期57-59,71,共4页
China Modern Doctor
关键词
医院感染
病原菌
药物敏感性
护理干预
危险因素
Nosocomial infection
Pathogens
Drug sensitivity
Nursing interventions
Risk factors
