ICU产超广谱β-内酰胺酶细菌医院感染危险因素与护理措施  

Dangerous factors and nursing countermeasure of hospital infection of extend-spectrnm β-lactamase bacterium in ICU

作　　者：沈燕君[1] 周惟[1] 许小敏[1] 杨军波[1] 王春英[1] 

机构地区：[1]宁波市第二医院,浙江宁波315010

出　　处：《护理与康复》2006年第4期246-247,共2页Journal of Nursing and Rehabilitation

基　　金：宁波市医学科研项目;编号:2005-28

摘　　要：目的总结ICU产超广谱β-内酰胺酶细菌医院感染的危险因素,为预防与控制产超广谱β-内酰胺酶细菌流行提供护理依据。方法将ICU的28例产超广谱β-内酰胺酶细菌感染病例作为观察组,随机抽取同一时期、同病房、同基础疾病28例产超广谱β-内酰胺酶菌阴性病例作为对照组,分析产超广谱β-内酰胺酶细菌感染的相关危险因素。结果产超广谱β-内酰胺酶细菌医院感染与患者入住ICU时间长、多次住院、长期使用三代头孢、侵入性操作等因素有关。结论切断病原菌传播途径、缩短患者在ICU的天数、严格控制广谱抗生素应用,是预防产超广谱β-内酰胺酶细菌感染的重要措施。Objective To discuss the dangerous factors of hospital infection of extend- spectrnm β- lactamase bacterium in ICU in order to provide basis for preventing and controlling the prevalence of the bactetia. Method Correlative dangerous factors were investigated and analyzed in ICU patients. 28 patients with hospital infection of extend - spectrnm β - lactarnase bacterium were in observation group and 28 patient were randomly selected in the same ICU. Result Infection was related to the following factors： time in ICU, repeating hospitalization, long time using of third- generation cephalosporins, invasive operation and so on. Conclusion Stopping forms of transmition reducing time in ICU and controlling the using of antibiotics are the important measures of preventing the prevalence of extend- spectrnm β- lactamase bacterium.

关 键 词：ICU 产超广谱Β-内酰胺酶细菌 医院感染 护理对策 

分 类 号：R473[医药卫生—护理学]