带状疱疹后遗神经痛患者继发感染病原菌特点及相关影响因素分析

发布时间：2018-01-18 05:38

  本文关键词：带状疱疹后遗神经痛患者继发感染病原菌特点及相关影响因素分析　出处：《中华医院感染学杂志》2017年22期 　论文类型：期刊论文

  更多相关文章： 带状疱疹后遗神经痛 继发感染 病原菌 影响因素

【摘要】：目的探讨带状疱疹后遗神经痛继发感染患者的病原菌特点及相关影响因素。方法选择医院于2015年1月-2016年12月期间收治的带状疱疹后遗神经痛患者986例,分析带状疱疹后遗神经痛继发感染病原菌分布特点和耐药性,对患者继发感染的发生率及相关因素进行观察和分析。结果发生继发感染患者91例,感染率为9.23%;共检出病原菌82株,以革兰阴性菌为主,共55株占67.07%;革兰阳性菌对红霉素、环丙沙星、青霉素耐药率较高,革兰阴性菌对阿米卡星、美罗培南、亚胺培南耐药率较高;logistic多因素回归分析结果显示,皮损严重、皮损面积5%、初治时间≥3d为带状疱疹后遗神经痛继发感染独立危险因素(P0.05)。结论根据带状疱疹后遗神经痛继发感染病原菌特点进行针对性治疗,且对其危险因素采取积极有效的预防措施,降低其发病。
[Abstract]:Objective to investigate the pathogenic bacteria characteristics and related influencing factors in patients with secondary infection of postherpetic neuralgia. Methods the patients with postherpetic neuralgia treated in our hospital from January 2015 to December 2016 were selected. There were 986 patients. The distribution and drug resistance of pathogenic bacteria in secondary infection of postherpetic neuralgia were analyzed. The incidence and related factors of secondary infection were observed and analyzed. Results 91 cases of secondary infection occurred. The infection rate was 9.23; A total of 82 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria, a total of 55 strains accounted for 67.07; The resistance rate of Gram-positive bacteria to erythromycin, ciprofloxacin and penicillin was higher than that of Gram-negative bacteria to amikacin, meropenem and imipenem. The results of logistic multivariate regression analysis showed that the lesions were serious, with an area of 5%. The time of initial treatment 鈮，

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