摘要
目的探讨衢州市急诊科重症患者医院感染的病原学分析及其治疗措施。方法选取2017年8月~2018年8月我院急诊科收治的410例重症患者,分析所有患者感染率及感染部位分布情况、医院感染病原菌分布及单因素分析及感染率。结果对410例患者进行调查,其中84例患者发生医院感染,感染率为20.5%。其中感染部位最多的为呼吸道感染,感染37例,感染率为44.0%;总共检出84株病原菌,检出最多的为肺炎克雷伯菌,共19株,占总株数的22.6%;年龄≥60岁的患者、住院时间超过1周、基础疾病较多、病变部位较多、滥用抗菌药物、存在侵入性操作是患者发生医院感染的相关因素。结论为预防感染的发生,应减少对患者的侵入性操作,控制基础疾病,诊治过程中严格执行无菌理念,合理使用抗菌药物,做好病房环境的消毒工作等。
Objective To explore the pathogenic analysis and treatment of nosocomial infection in critically ill patients in Quzhou emevgency department. Methods 410 critically ill patients admitted to the emergency department in our hospital from August 2017 to August 2018 were selected. The infection rate and distribution of infection sites, and distribution of nosocomial pathogens. Results A total of 410 patients were investigated, of which 84 patients developed nosocomial infection with an infection rate of 20.5%. Among them, the most infections were respiratory infections, 37 cases were infected, and the infection rate was 44.0%. A total of 84 pathogens were detected, and the most detected were Klebsiella pneumoniae, a total of 19 strains, accounting for 22.6% of the total number of strains. Age ≥60 years old,hospitalization time over 1 week, more basic diseases,more lesions, abuse of antibiotics, and invasive procedures were related factors for hospital infection. Conclusion In order to prevent the occurrence of infection, the invasive operation should be reduced, the underlying diseases should be controlled, the aseptic concept should be strictly implemented in the medical process, the antibacterial drugs should be used reasonably, and the disinfection work of the ward environment should be done well.
作者
徐小良
吴德军
崔益明
陈毓
XU Xiaoliang;WU Dejun;CUI Yiming;CHEN Yu(Department of Emergency,Quzhou People's Hospital in Zhejiang Province,Quzhou324000,China)
出处
《中国现代医生》
2020年第3期94-97,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2017KY699)。
关键词
衢州市急诊科
重症患者
医院感染
病原学分析
治疗措施
Emergency department of Quzhou
Critically ill patients
Nosocomial infection
Pathogenic analysis
Treatment measures
