神经外科重症患者气管切开后呼吸道铜绿假单胞菌感染的临床分析  

Pseudomonas aeruginosa Infection of Respiratory Tract in Severe Neurosurgery Patients after Tracheotomy:Clinical Analysis and Management

作　　者：周玉玲[1] 康健[1] 

机构地区：[1]连云港市第二人民医院神经外科,江苏连云港222023

出　　处：《中华医院感染学杂志》2009年第17期2255-2257,共3页Chinese Journal of Nosocomiology

摘　　要：目的研究医院神经外科重症患者气管切开后出现呼吸道铜绿假单胞菌感染的情况,探讨预防及控制医院感染的措施。方法对2005年12月-2007年10月神经外科19例行气管切开术的重症患者资料进行回顾性分析。结果19例均发生呼吸道感染,发生率达100.0%;培养出病原菌11种73株;12例培养出铜绿假单胞菌共30株,占总病例的63.16%,占总株数的41.10%,其耐药性高。结论铜绿假单胞菌已成为神经外科重症患者气管切开后呼吸道医院感染的首要致病菌,加强消毒隔离措施及气道护理,根据药敏试验联合使用抗菌药物是预防与控制感染的重要手段。OBJECTIVE To study Pseudomonas aeruginosa infection in respiratory tract of severe neurosurgery patients after tracheotomy, and discuss the prevention and management of nosocomial infection. METHODS The data of 19 severe patients admitted in neurosurgery from Dec 2005 to Oct 2007 who underwent tracheotomy were analyzed retrospectively. RESULTS Respiratory tract infection occurred in all 19 cases, the incidence rate was 100%. Eleven species and 73 strains of pathogenic bacteria were found. Thirty （41.10%） strains of P. aeruginosa were found in 12 （63.16%） cases, the drug resistance rate was higher. CONCLUSIONS P. aeruginosa is the most important pathogenic bacteriaum of respiratory tract nosocomial infection in severe neurosurgery patients after tracheotomy. Strengthening the sterilization, isolation and airway management and selecting antibiotics based on drug sensitive test are the important methods to prevent and control infection.

关 键 词：气管切开 医院感染 铜绿假单胞菌 

分 类 号：R378.991[医药卫生—病原生物学]