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重症监护病房患者复数菌感染的临床调查

Multi-bacterial Infection in Intensive Care Unit:A Clinical Investigation

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【作者】 许敏刘敏史莉

【Author】 XU Min,LIU Min,SHI Li (The First Hospital of Xiangfan,Xiangfan 441000,China)

【机构】 襄樊第一人民医院襄樊第一人民医院 湖北襄樊441000湖北襄樊441000湖北襄樊441000

【摘要】 目的 探讨综合重症监护病房 (ICU)复数菌感染病例的易感因素及感染病原菌。方法 回顾性调查 3年来综合 ICU患者复数菌感染的诱发因素及相关病原菌。结果  84 4例医院感染病例中 ,2 78例为复数菌感染(32 .94 % ) ;患者多为年龄偏大、住院时间较长 ,并伴有不同程度的基础疾病 ,加之抗生素、激素和免疫抑制剂的反复使用 ,侵袭性操作等因素均导致复数菌感染增多。结论 复数菌感染病情危重难以控制 ,治愈率低 ,应积极治疗基础疾病 ;根据药物敏感试验结果针对性合理用药 ;严格消毒隔离制度 ,以降低复数菌的感染率。

【Abstract】 QBJECTIVE To explore factors and agents of multi-bacterial infection in integration intensive careunit.METHODS Factors and agents of multi-bacterial infection in integration intensive care unit of our hospital during the last 3 years were retrospectively investigated. RESULTS Among 844 nosocomial infection cases,278 were caused by multi-bacterial infection (32.94%). Aging,long-period hospitalizing,accompanying with some underlying diseases,substantive using of antibiotics,hormone and immunity-depressive agents,and invasive treatment were all risk factors of multi-bacterial infection. CONCLUSIONS Positive treatment of underlying disease should be considered since multi-bacterial infections were hard to control. Rational using of drugs according to drug sensitivity test and strict sterilization and isolation measures should be taken to decline infection chances of multi-bacterial infection.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosoconmiology , 编辑部邮箱 ,2004年05期
  • 【分类号】R181.32
  • 【被引频次】16
  • 【下载频次】38
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