重症监护室获得性血流感染的临床分析  

Clinical analysis of acquired bloodstream infection in ICU

作　　者：程向丽[1] Cheng Xiangli(Department of Critical Care Medicine,the Second Hospital of Shanxi Medical University 030001)

机构地区：[1]山西医科大学第二医院重症医学科,030001

出　　处：《中国社区医师》2017年第26期112-113,115,共3页Chinese Community Doctors

摘　　要：目的:探讨重症监护室获得性血流感染患者的临床特点和病原菌的分布及其耐药性。方法:收治获得性血流感染患者120例,对其临床特点以及病原菌的分布和耐药性进行分析。结果:基础疾病以肺部感染患者最多;最多的是机械通气患者,最常见的两种病原菌是表皮葡萄球菌和肺炎克雷白菌;除了革兰阳性菌对利奈唑胺没有耐药性以外,其他病原菌都具有耐药性。结论:在重症监护室中,NBSI的发生率比普通病房高,最常见的感染是肺部感染,感染率最高的是机械通气患者;导致患者发生血流感染的主要致病菌是革兰阳性菌、革兰阴性菌等,这些病原菌大多数都具有耐药性。Objective:To investigate the clinical characteristics,distribution of pathogens and drug resistance in patients with acquired bloodstream infection in ICU.Methods:120patients with acquired bloodstream infection were selected.Their clinical features,distribution and drug resistance of pathogens were analyzed.Results:Most of the underlying diseases were pulmonary infection,especially in patients with mechanically ventilated,and the top two common pathogens were staphylococcus epidermidis and klebsiella pneumoniae.Other pathogens were resistant to linezolid except for Gram-positive bacteria.Conclusion:In the ICU,the incidence of NBSI higher than in the general wards,lung infection is the most common infection,and the highest infection rate was the patients with mechanical ventilation.The main pathogens causing bloodstream infections are gram positive bacteria,gram negative bacteria,etc.Most of these pathogens has durg resistance.

关 键 词：重症监护室 医院获得性血流感染 病原菌 

分 类 号：R446.5[医药卫生—诊断学]