老年患者超声介入治疗后医院感染的病原学分析与临床治疗

发布时间：2018-06-11 11:08

本文选题：超声介入 + 老年　；参考：《中华医院感染学杂志》2015年15期

【摘要】：目的对老年患者超声介入治疗后医院感染的病原学特点和临床治疗进行分析探讨,为降低医院感染率提供参考依据。方法回顾性分析自2010年6月-2013年6月进行超声介入治疗的413例患者临床资料,分析其感染率、病原菌分布及耐药性,数据采用SPSS 15.0软件进行统计分析。结果 413例患者中有306例患者发生医院感染,感染率为74.1%;感染的部位主要以呼吸道为主,共142例占46.4%;共检出124株病原菌,主要以革兰阴性菌为主,共66株占53.2%,且对环丙沙星耐药,耐药率50.0%。结论老年超声介入治疗患者医院感染率相对较高,且以革兰阴性菌导致的呼吸道、泌尿道感染为主,临床合理应用抗菌药物、重视清洁卫生、采取有效防范措施对降低老年超声介入患者医院感染有一定积极意义。
[Abstract]:Objective to analyze the etiological characteristics and clinical treatment of nosocomial infection after ultrasound interventional therapy in elderly patients, and to provide reference for reducing nosocomial infection rate. Methods the clinical data of 413 patients undergoing ultrasound interventional therapy from June 2010 to June 2013 were analyzed retrospectively. The infection rate, distribution of pathogens and drug resistance were analyzed. SPSS 15.0 software was used to analyze the data. Results among 413 patients, 306 cases had nosocomial infection, the infection rate was 74.1%, the main site of infection was respiratory tract (142 cases, 46.4%), 124 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria. 66 strains of ciprofloxacin were resistant to ciprofloxacin, and the resistance rate was 50. 0%. Conclusion the nosocomial infection rate of the elderly patients with ultrasound intervention therapy is relatively high, and the infection of respiratory tract and urinary tract caused by Gram-negative bacteria is the main factor. Effective preventive measures are helpful to reduce nosocomial infection in elderly patients with ultrasound intervention.
【作者单位】：恩泽医疗集团(中心)台州医院超声科;
【基金】：浙江省自然科学基金资助项目(Y2110467)
【分类号】：R445.1;R197.32

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