泛耐药铜绿假单胞菌肺炎危险因素及护理对策  

Risk factors of nosocomial pneumonia due to pan-drug resistant pseudomonas aeruginosa:a case-control study

作　　者：沈曼玲[1] 魏树全[1] 徐丽莉[1] 梁兆如[1] 赵子文[1] 

机构地区：[1]广东省广州市第一人民医院呼吸内科,广东广州510180

出　　处：《海南医学》2009年第8期8-10,共3页Hainan Medical Journal

基　　金：广东省自然科技基金资助项目(编号:A5000423)

摘　　要：目的探讨医院感染性肺炎泛耐药铜绿假单胞菌感染的危险因素及护理对策。方法采用1∶1病例对照研究方法,病例组收集2001年1月至2005年12月住院的泛耐药铜绿假单胞菌(PDRPA)引起的医院感染性肺炎病例27例,并随机选择同时期非PDRPA感染的医院感染病例27例作为对照组。统计学分析采用t检验或x2检验。结果在27例PDRPA引起的医院感染肺炎和27例对照病例中单因素分析发现感染前住院时间、感染前入住ICU、APACHEII评分、机械通气、体内留置尿管、胃管、纤维支气管镜吸痰和使用抗菌素数量与PDRPA感染有关。结论感染前住院时间、感染前入住ICU、APACHEII评分、机械通气、体内留置导管(包括尿管、胃管、中心静脉导管和动脉导管)、纤维支气管镜吸痰和使用抗菌素数量是PDRPA肺炎的重要危险因素。加强无菌意识教育、患者气道护理、呼吸机管理和及早营养支持非常必要。Objective To evaluate the differences in risk factors of patients with PDRPA and the strategy of nursing. Methods Twenty seven patients with PDRPA and twenty seven matched patients with non - PDRPA were analyzed from 2001 to 2005. A matched case - control study was conducted. T test, chi - square test were used for statistics. Results The factors associated with nosocomial pneumonia due to pan - drug resistant pseudomonas aeruginosa were the length of hospital stay before acquisition of pseudomonas aeruginosa, admitted to ICU before acquisition of P. aeruginosa, invasive procedures, mechanical ventilation, the number of prescribed antibiotics and APACHE Ⅱ score. Conclusion It is necessary to elevate the aseptic concept of nurses, improve the nursing for airway of patients and management of machine, and carry out nutritional support so as to decrease the rate of pseudomonas aeruginosa infection.

关 键 词：泛耐药铜绿假单胞菌 危险因素 护理对策 

分 类 号：R563.1[医药卫生—呼吸系统]