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机构地区:[1]山东大学西校区医院妇科,山东济南250012 [2]浙江省人民医院ICU科,浙江杭州310000
出 处:《山东大学学报(医学版)》2007年第3期265-268,共4页Journal of Shandong University:Health Sciences
摘 要:目的:确定ICU获得性败血症致病菌的种类、药敏情况、临床特征及影响预后的因素。方法:对2003年9月至2006年3月ICU收治的各科患者(入科不到24 h死亡、自动出院和转科的患者除外),住ICU期间临床怀疑发生败血症送检血培养或导管标本培养证实的85例92次败血症的病原菌进行回顾性分析。结果:ICU获得性败血症的发病率为9.99%,感染者多存在败血症的易感因素。真菌感染、病程中出现感染性休克及肾衰是影响预后的独立危险因素。致病菌分布和药敏特点:①G-菌分离率最高,以条件致病菌为主;②真菌的分离率明显升高;③耐药率较高。结论:败血症ICU获得性发病率高,真菌感染、病程中出现感染性休克及肾衰是影响败血症预后的独立危险因素。Objective: To explore the category, drug susceptibility, and clinical features of the pathogenic bacteria of acquired septicemia from the ICU and factors affecting prognosis. Methods: The clinical data of the pathogenic bacteria of septicemia confirmed between September 2003 and March 2006 in ICU were retrospectively analyzed. Results: The attack rate of acquired septicemia was 9.99%. Fungal infection, septic shock and renal failure during the course of disease are independent risk factors affecting prognosis. The distribution and features of drug susceptibility are as follows:① G^- bacteria were the most frequently isolated and the conditioned pathogen was mainly produced; ② The fungus was gradually isolated; ③Drug resistance was high. Conclusion: It is the etiological and clinical features that lead to the high attack rate of ICU acquired septicemia.
分 类 号:R378[医药卫生—病原生物学]
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