鲍曼不动杆菌感染的高危因素的分析  

The risk factors for nosocomial infection caused by Acinetobacter baumanii

作　　者：张玲[1] 欧阳玲[2] 尚碧莲[1] 孙光伟[1] 邸玥莹[1] 马莉[1] 王厚照[1] 

机构地区：[1]中国人民解放军第一七四医院检验科,福建厦门361003 [2]中国人民解放军第一七四医院神经外科,福建厦门361003

出　　处：《国际检验医学杂志》2011年第20期2344-2345,共2页International Journal of Laboratory Medicine

基　　金：南京军区医药卫生专项课题(09MA060)

摘　　要：目的对该院鲍曼不动杆菌(Ab)感染的危险因素进行分析。方法收集2010年1～12月该院187例感染Ab住院患者的临床资料,采用多因素logistic回归方法分析感染Ab的危险因素。结果使用呼吸机、入住ICU、前期大量使用3代头孢和泌尿道插管是Ab感染的独立危险因素(比值比分别为39.242、19.651、4.534、3.439,P<0.05)。结论严格把握入住ICU、前期3代头孢大量使用、呼吸机及泌尿道插管的使用,及时进行医院感染的检测,对控制Ab所引发的医院感染具有突出的临床意义。Objective To analyze the risk factors for nosocomial infection caused by Acinetobacter baumanii in our hospital.Methods 187 patients＇ clinical data infected by Acinetobacter baumanii from January to December in 2010 in our hospital were collected,and the risk factors for nosocomial infection caused by Acinetobacter baumanii were analyzed by muti-factor logistic regression analysis.Results Ventilator applied,intensive care unit（ICU）stay,previous use of third generation cephalosporin antibiotics and indwelling catheter were independent risk factors for nosocomial infection caused by Acinetobacter baumanii[odd ratios（OR）=39.242,19.651,4.534,3.439,P0.01].Conclusion It is important to prevent nosocomial infection caused by Acinetobacter baumanii by strict limitation on the indication of ICU stay,the use of ventilator,third generation cephalosporin antibiotics and indwelling catheter,and target monitoring of nosocomial infection caused by Acinetobacter baumanii in our hospital should be strengthened.

关 键 词：交叉感染 鲍氏不动杆菌 危险因素 

分 类 号：R446.5[医药卫生—诊断学]