摘要
目的 了解综合ICU医院内肺炎的发病情况、常见病原体及相关危险因素 ,为临床防治提供依据。方法 对我院 2 0 0 0年 2月至 2 0 0 1年 12月综合ICU内发生医院内肺炎的 4 2例临床资料进行回顾性调查。结果 医院内肺炎感染率为 15 2 % ,病原体包括细菌及真菌 ,仍以革兰阴性菌为主 (47 7% ) ,而真菌感染率达 30 2 % ,多数病例病情危重并患有多种疾病 ,或有外科手术史 ,且接受过一种或多种侵入性诊疗操作 ,大部分病例有使用广谱抗生素及手术史。结论 综合ICU医院内肺炎发生率较高 ,死亡率高 ,注意合理使用抗生素及糖皮质激素 ,减少不必要的侵入性诊疗操作 ,强化消毒隔离管理 。
Objective To find out the morbidity condition,pathogens and related risk factors of nosocomial pneumonia.Methods A retrospective analysis of 42 cases of nosocomial pneumonia in comprehensive ICU was made from February 2000 to December 2001.Results The infection rate of nosocomial pneumonia was 15.2%.The pathogens included bacteria and epiphyte,47.7% of the total bacteria examined were G - bacillus and the infection rate of epiphyte was 30.2%.The most patients were severely ill and had some diseases or operation history,and received invasive diagnostic and therapeutic operation or broad spectrum antibiotic.Conclusion The incidence and mortality of nosocomial pneumonia in comprehensive ICU is higher.We should use of antibiotic and glucocorticoid rationally reduce invasive diagnostic and therapeutic operation,strengthen disinfection and isolation.In this way,the incidence of nosocomial pneumonia can be controlled effectively.
出处
《中国基层医药》
CAS
2003年第7期591-592,共2页
Chinese Journal of Primary Medicine and Pharmacy
