ICU患者下呼吸道感染鲍氏不动杆菌的危险因素与对策  

Patients with Lower Respiratory Tract Infection Caused by Acinetobacter baumannii in ICU:Cause Analysis and Nursing

作　　者：俞继芳[1] 李美兰[1] 吴莉莉[1] 林汉慧[1] 

机构地区：[1]温州医学院附属第一医院ICU,浙江温州325000

出　　处：《中华医院感染学杂志》2010年第11期1537-1538,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解重症监护病房(ICU)鲍氏不动杆菌医院感染的特点。方法回顾性调查2009年7-12月医院ICU患者感染鲍氏不动杆菌的情况,对ICU鲍氏不动杆菌医院感染的来源、感染率、耐药性及相关危险因素等方面进行综合分析。结果医院ICU2009年7-12月,共收治246例患者,其中有41例患者为鲍氏不动杆菌引起的下呼吸道感染,感染率为16.7%;鲍氏不动杆菌多呈多药耐药性。结论多药耐药鲍氏不动杆菌引起的下呼吸道感染在ICU占较高比例,侵入性操作和基础性疾病是鲍氏不动杆菌感染的主要危险因素。OBJECTIVE To investigate the characteristics of Acinetobacter baumannii nosocomial infection in the intensive care unit （ICU）. METHODS We retrospectively surveyed the patients infected with A. baumannii from Jul 2009 to Dec 2009 in our ICU, comprehensively analyzed the origin of infection, infection rate, drug resistance and associated risk factors of nosocomial infection. RESULTS Among the 246 in patients in our ICU, there were 41 patients with lower respiratory tract infection caused by A. baumannii. A. baumannii showed the characteristics of multi-drug resistance. CONCLUSIONS There is a relatively high proportion of multidrug-resistant A. baumannii infection in lower respiratory tract in ICU. The invasive operations and the underlying disease are the major risk factors of A. baumannii infection.

关 键 词：重症监护病房 鲍氏不动杆菌 医院感染 护理 

分 类 号：R378[医药卫生—病原生物学]