医院内菌血症的临床研究  

CLINICAL STUDY OF NOSOCOMIAL BACTERIEMIA

作　　者：石娜[1] 徐卫[1] 舒雪芹[1] 徐莉珠[1] 廖洪菊[1] 

机构地区：[1]浙江温州医学院附属第一医院,温州325000

出　　处：《现代预防医学》2005年第8期941-943,共3页Modern Preventive Medicine

摘　　要：目的:了解医院内菌血症的临床状况、危险因素、病原学分类及耐药现状。方法:对91例医院内菌血症患者资料进行统计和分析。结果:医院内菌血症发生率为0.15%;其主要危险因素为老龄、住院日长、严重的相关基础疾病、动静脉插管及广谱抗生素的大量使用等;感染的病原菌以革兰阴性菌为主,占46.8%,革兰阳性菌占27.7%,真菌占25.5%。结论:医院应积极控制原发病,缩短住院时间,尽量减少动静脉插管,合理使用抗生素以控制医院内菌血症的发生。Objective:To investigate clinic status, risk factors, distribution of pathogens and current resistance of nosocomial bacteriemia.Methods:91 cases of nosocomial bacteriemia were analyzed.Results:The infection rate was 0.15%.The major risk factors included aging,long course of hospitalization, correlated serious original diseases, arteriovenous catheter and plentiful use of antibiotics etc.Gram negative bacteria were major(46.8%), Gram positive bacteria accounted for 27.7% and fungi were 25.5%.Conclusion:Giving an efficacious regimen for control original diseases, shortening the duration of hospitalization, reducing use of arteriovenous catheter and reasonably using antibiotics is good to prevent nosocomial bacteriemia.

关 键 词：医院感染 菌血症 抗生素 

分 类 号：R631.3[医药卫生—外科学]