呼吸科住院感染患者菌种分布、相关因素及管理小组干预效果分析

发布时间：2018-01-13 21:19

  本文关键词：呼吸科住院感染患者菌种分布、相关因素及管理小组干预效果分析　出处：《解放军预防医学杂志》2017年01期 　论文类型：期刊论文

  更多相关文章： 院内感染 呼吸科 菌种分布 危险因素 管理小组

【摘要】：目的 探讨呼吸科住院感染患者菌种分布、相关因素及管理小组干预的效果。方法 选取2011年11月-2014年11月呼吸科住院患者528例作为研究对象,其中78例确诊为院内感染患者作为院内感染组,450例未出现院内感染患者作为非院内感染组,统计院内感染组感染部位、菌种分布,并对比院内感染组和非院内感染组一般资料;将院内感染组随机分为观察组和对照组,各39例,对照组给予常规护理,观察组在常规护理基础给予管理小组干预,记录干预后两组管理质量及护理满意度。结果 本组78例院内感染患者,73.1%为呼吸系统感染,15.4%为泌尿系统感染,11.5%为消化系统感染;78例患者共检出148株病原菌,革兰阴性菌占82.4%,以铜绿假单胞菌最为常见(34.5%)。多因素Logistic回归分析表明,年龄≥60岁(OR=2.61)、侵入性操作(OR=5.68)、抗生素不合理应用(OR=2.23)、住院时间≥15 d(OR=1.71)是呼吸科患者院内感染的独立危险因素。观察组干预后,医院人员管理、环境管理、器械管理及护理满意度评分均显著高于对照组(P0.05)。结论 呼吸科住院感染患者以革兰阴性菌感染为主,与年龄、侵入性操作、抗生素不合理应用、住院时间有关,应加强呼吸科医院感染管理。
[Abstract]:Objective to investigate the distribution of bacterial species in inpatients with respiratory infection. Methods from November 2011 to November 2014, 528 inpatients in respiratory department were selected as study objects. Among them, 78 cases of nosocomial infection were diagnosed as nosocomial infection group, 450 cases did not appear nosocomial infection group as non-nosocomial infection group, the infection site and the distribution of bacteria in nosocomial infection group were counted. The general data of nosocomial infection group and non-nosocomial infection group were compared. The nosocomial infection group was randomly divided into observation group (39 cases) and control group (39 cases). The control group was given routine nursing and the observation group was given management group intervention on the basis of routine nursing. Results 73.1% of the 78 patients with nosocomial infection were infected with respiratory system and 15.4% with urinary system infection. 11.5% is digestive system infection; A total of 148 strains of pathogenic bacteria were detected in 78 patients. Gram-negative bacteria accounted for 82.4. Pseudomonas aeruginosa was the most common pathogen. Multivariate Logistic regression analysis showed that Pseudomonas aeruginosa was the most common bacteria. The age 鈮，

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