近年来我院综合内科多重耐药菌肺部感染情况分析  

Analysis of the Pulmonary Infection of Multidrug-Resistant Organism in Our Hospital s Comprehensive Internal Medicine Department in Recent Years

作　　者：段丽屏 Duan Liping(Department of Infection Management,Dali Bai Autonomous Prefecture People s Hospital,Dali,Yunnan 671000,China)

机构地区：[1]大理白族自治州人民医院感染管理部,云南大理671000

出　　处：《大理大学学报》2021年第8期47-49,共3页Journal of Dali University

摘　　要：目的:分析大理白族自治州人民医院(以下简称“我院”)综合内科多重耐药菌(MDRO)肺部感染病菌种类,并探讨感染的危险因素和有效的护理对策。方法:2010年1月至2017年6月我院综合内科共治疗MDRO肺部感染患者82例,分析其病菌种类和治疗效果,同时提出有效护理对策。结果:我院综合内科MDRO菌种主要为铜绿假单胞菌(37.80%)、肺炎克雷伯菌(26.83%)、鲍曼不动杆菌(20.73%)、金黄色葡萄球菌(10.98%),引起MDRO肺部感染的主要危险因素为抗菌药使用不合理、机械通气、住院天数较长、吸烟史以及合并其他基础疾病;采取针对性护理后,79.27%的MDRO肺部感染患者好转出院。结论:针对MDRO肺部感染,找出危险因素,明确病原菌,给予有效护理干预,是降低此病发生的关键。Objective:To analyze the pathogens of multidrug-resistant organism(MDRO)in the comprehensive internal medicine department of Dali Bai Autonomous Prefecture People s Hospital(hereinafter referred to as“our hospital”),and to explore the risk factors and propose effective nursing strategies.Methods:From January 2010 to June 2017,82 patients with MDRO lung infection were treated in our hospitals comprehensive internal medicine department.The types of pathogens and their therapeutic effects were analyzed.Meanwhile,effective nursing strategies were put forward.Results:In our hospital,the majority of MDRO were Pseudomonas aeruginosa(37.80%),Klebsiella pneumoniae(26.83%),Acinetobacter baumannii(20.73%),and Staphylococcus aureus(10.98%).Major risk factors of MDRO lung infection were irrational use of antibiotics,indwelling gastric tube,mechanical ventilation,long hospital stay,smoking history and other underlying diseases.After targeted care,more than 79.27%of the patients with MDRO lung infection were improved and discharged.Conclusion:Finding out risk factors,identifying pathogens,and giving effective nursing intervention are the keys to reducing the occurrence of MDRO lung infection.

关 键 词：多重耐药菌肺部感染 危险因素 护理 病原菌 

分 类 号：R473.5[医药卫生—护理学]