SICU患者医院获得性血流感染的预后分析

发布时间：2018-03-01 04:24

  本文关键词： 外科重症监护病房 医院获得性血流感染 病死率 危险因素　出处：《中华医院感染学杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的了解外科重症监护病房(SICU)患者医院获得性血流感染病原菌分布及患者预后,并分析死亡的危险因素,为临床抗感染治疗提供指导。方法收集医院SICU 2004-2015年确诊为医院获得性血流感染的111例患者的临床资料,对其病原菌分布、预后进行描述性研究,对导致患者死亡的危险因素实施单因素、多因素logistic回归分析;采用SPSS17.0软件对数据进行统计分析。结果 111例血流感染患者的送检标本中共分离出病原菌180株,其中革兰阴性菌84株占46.7%、革兰阳性菌56株占31.1%、真菌40株占22.2%;患者住院期间病死率为44.1%;APHACHEⅡ≥18分、凝固酶阴性葡萄球菌感染、鲍氏不动杆菌感染及多药耐药菌感染是患者死亡的独立危险因素(P0.05)。结论 SICU患者医院获得性血流感染病原菌种类多样、预后不佳,临床应加强病原菌监测,预防为先,并及时采取有效的抗感染策略。
[Abstract]:Objective to investigate the pathogenic bacteria distribution and prognosis of nosocomial blood flow infection in surgical intensive care unit (ICU) patients, and to analyze the risk factors of death. Methods the clinical data of 111 patients diagnosed as nosocomial blood flow infection from 2004 to 2015 were collected, and the distribution and prognosis of pathogenic bacteria were studied. Single factor, multivariate logistic regression analysis and SPSS17.0 software were used to analyze the data. Results A total of 180 strains of pathogenic bacteria were isolated from blood stream infection samples. Among them, 84 Gram-negative bacteria accounted for 46.7%, 56 Gram-positive bacteria accounted for 31.1and 40 fungi accounted for 22.2.The mortality during hospitalization was 44.1%, Apache 鈪，

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