重症患者气管切开后铜绿假单胞菌感染的调查  

Pseudomonas aeruginosa infections in severe patients with tracheotomy

作　　者：孙红华[1] 

机构地区：[1]绍兴市人民医院手术室,浙江绍兴312000

出　　处：《中华医院感染学杂志》2011年第15期3156-3157,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解医院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2008年1月-2009年12月38例行气管切开术的重症患者资料进行回顾性分析。结果所有患者均做痰细菌培养及药物敏感试验,培养阳性率为100.00%;38例患者共送检痰标本90次,培养出病原菌11种共146株,以革兰阴性杆菌为主,119株,占81.5%,革兰阳性菌21株,占14.4%,真菌6株,占4.1%。结论铜绿假单胞菌已成为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 know about the infection situation of Pseudomonas aeruginosa（PAE） of respiratory tract of serious patients with tracheotomy,and explore the measures to prevent and control nosocomial infection.METHODS Retrospective analysis method was used to study the clinic data of 38 serious patients with tracheotomy from Jan,2008 to Dec,2009.RESULTS Bacterial cultures from sputum and sensitivity test of antibiotics were conducted in all patients,the positive rate was 100.00%.Specimen of sputum were sent 90 times in the 38 patients,11 types and 146 strains pathogenic bacteria were cultured,Gram-negative bacilli were the most common,119 strains（81.5%）;Gram-positive bacteria were 21 strains（14.4%）;fungi were 6 strains（4.1%）.CONCLUSION P.aeruginosa has become the most common pathogen causing respiratory tract infection in severe patients with tracheotomy,so disinfection and isolation measures and nursing-care should be strengthened,and combination use of antibiotics based on sensitivity test would be the important measure to prevent and control nosocomial infection.

关 键 词：气管切开 医院感染 铜绿假单胞菌 

分 类 号：R181.32[医药卫生—流行病学]