三种入院方式致老年卒中患者相关性肺炎多药耐药特点及干预效果探讨

发布时间：2018-03-14 17:01

  本文选题：老年　切入点：卒中　出处：《中华医院感染学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的研究三种入院方式致老年卒中患者相关性肺炎多药耐药特点,总结干预措施,以期避免交叉感染、提高抗感染治疗效果和医院质量。方法选取2014年1月-2016年1月老年卒中相关性肺炎患者707例,按照入院方法,门诊入院患者373例为门诊入院组,外院转入者74例为外院转入组,院内转入者260例为院内组,比较三组耐药菌阳性率、院内感染和耐药菌种的前四位分布。结果耐药菌阳性率,外院转入组、门诊转入组高于院内组,差异有统计学意义(P0.05),且外院转入组高于门诊转入组,差异有统计学意义(P0.05);耐药菌院内感染率,外院转入组、院内组高于门诊转入组,差异有统计学意义(P0.05),外院转入组与院内组比较,差异无统计学意义;8~15d,三组耐药菌阳性率高于1~7d,≥16d高于8~15d,差异均有统计学意义(P0.05);外院转入组、院内组鲍曼不动杆菌感染率高于其他耐药菌种,门诊转入组肺炎克雷伯杆菌高于其他耐药菌种,差异均有统计学意义(P0.05)。结论对于老年卒中相关性肺炎来说,门诊转入、外院转入者多药耐药阳性率最高,尤其是外院转入,而加强此类人群耐药菌种监测、筛查,采取有效隔离、选取适宜抗菌药物等措施能有效避免院内交叉感染、提高治疗效果。
[Abstract]:Objective to study the characteristics of multidrug resistance (MDR) in elderly patients with stroke induced by three admission modes, and to summarize the intervention measures to avoid cross infection. Methods from January 2014 to January 2016, 707 elderly patients with apoplexy associated pneumonia were selected. According to the admission method, 373 outpatients were admitted as outpatient admission group, 74 patients were transferred from outside hospital to hospital group. The positive rate of drug-resistant bacteria and the first four distribution of nosocomial infection and drug-resistant bacteria were compared among the three groups. Results the positive rate of drug-resistant bacteria was higher in out-patient group than in hospital group, but higher in out-patient group than in hospital group. The difference was statistically significant (P 0.05), and the rate of nosocomial infection of drug-resistant bacteria was higher in the outside hospital group than in the out-patient group, and the difference was statistically significant. The difference was statistically significant (P 0.05). There was no significant difference between the outside hospital group and the hospital group for 815 days. The positive rate of drug resistant bacteria in the three groups was higher than 1 7 days, 鈮，

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