急性有机磷中毒合并呼吸衰竭患者医院感染的相关因素分析

发布时间：2018-11-27 19:25

【摘要】：目的分析急性有机磷中毒合并呼吸衰竭患者发生医院感染的相关因素,提出相应的护理对策,以降低感染率。方法回顾性分析2011年6月-2013年6月81例急性有机磷中毒合并呼吸衰竭患者的临床资料,对其中26例发生医院感染患者各相关因素进行对比分析,并提出相应的护理对策。结果急性有机磷中毒合并呼吸衰竭患者医院感染部位分布以呼吸道为主,占57.69%,其次为胃肠道和泌尿系统,各占15.38%,其他感染占11.55%;单因素分析结果显示,年龄60岁、住院时间14d、气管插管、气管切开、意识状态昏迷、多种抗菌药物联用、侵入性操作是急性有机磷中毒合并呼吸衰竭医院感染的相关因素(P0.05),多因素logistic回归分析结果显示,年龄大、住院时间长、气管插管、侵入性操作、昏迷是感染的高危因素(P0.05)。结论急性有机磷中毒合并呼吸衰竭医院感染的相关因素较多,在护理过程中应加强环境的无菌控制,严格执行无菌操作,做好基础护理等,减少侵入性操作,合理使用抗菌药物,以控制和降低医院感染率。
[Abstract]:Objective to analyze the related factors of nosocomial infection in patients with acute organophosphorus poisoning and respiratory failure, and to put forward corresponding nursing measures to reduce the infection rate. Methods the clinical data of 81 patients with acute organophosphorus poisoning complicated with respiratory failure from June 2011 to June 2013 were analyzed retrospectively. The relative factors of 26 patients with nosocomial infection were compared and the corresponding nursing countermeasures were put forward. Results the distribution of nosocomial infection in patients with acute organophosphorus poisoning complicated with respiratory failure was mainly respiratory tract (57.69), gastrointestinal tract and urinary system (15.38) and other infections (11.55). Univariate analysis showed that the age of 60 years, hospital stay for 14 days, tracheal intubation, tracheotomy, consciousness coma, multiple antibiotics combined, Invasive operation was the related factor of nosocomial infection of acute organophosphorus poisoning complicated with respiratory failure (P0.05). Multivariate logistic regression analysis showed that age, length of stay, tracheal intubation, invasive operation, and so on. Coma was a high risk factor for infection (P0.05). Conclusion there are many related factors in acute organophosphorus poisoning complicated with respiratory failure nosocomial infection. In the nursing process, we should strengthen the aseptic control of the environment, strictly carry out the aseptic operation, do well the basic nursing, and reduce the invasive operation. Rational use of antimicrobial agents in order to control and reduce the nosocomial infection rate.
【作者单位】：绍兴市人民医院急诊内科;
【基金】：浙江省卫生厅基金资助项目(ZW-2010B072)
【分类号】：R563.8

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