2014年度急诊科急性脑梗死患者医院感染的调查分析

发布时间：2018-11-16 08:06

【摘要】：目的探究医院2014年度急诊科脑梗死患者感染发生率、感染致病菌及耐药性,为临床提供指导意见。方法回顾性收集2014年1-12月急诊科救治的脑梗死患者257例,按规定采集患者尿液、粪便、血液、痰液分泌物标本并按照相关方法进行感染致病菌检查及药敏试验。结果 2014年急诊脑梗死患者共257例,其中发生感染患者为34例,感染率为13.23%,以呼吸道感染最多见,为19例,占55.89%;急诊脑梗死感染病例中,细菌培养34例,共培养出51株病原菌,其中革兰阴性菌30株,占58.82%,革兰阳性菌17株,占33.33%,真菌4株,占7.84%;真菌感染敏感性酮康唑或氟康唑最高,革兰氏阳性菌和革兰氏阴性菌以左氧氟沙星以及头孢噻肟敏感性最高。结论医院急诊科脑梗死患者感染以呼吸道细菌感染为主,细茵感染首选头孢噻肟或左氧氟沙星,真菌性感染治疗首选酮康唑或氟康唑。
[Abstract]:Objective to investigate the incidence of infection, pathogenic bacteria and drug resistance of patients with cerebral infarction in hospital emergency department in 2014, and to provide guidance for clinical practice. Methods 257 patients with cerebral infarction from January to December 2014 were collected retrospectively. Urine, feces, blood and sputum secretions were collected according to the regulations, and infection pathogens and drug susceptibility tests were carried out according to the relevant methods. Results there were 257 patients with acute cerebral infarction in 2014, of whom 34 were infected, and the infection rate was 13.23. Respiratory tract infection was the most common, accounting for 55.89%. In 34 cases of acute cerebral infarction infection, 51 strains of pathogenic bacteria were cultured, including 30 Gram-negative bacteria (58.82), 17 Gram-positive bacteria (33.33%) and 4 fungi (7.84%). The susceptibility to fungal infection was highest in ketoconazole or fluconazole, and in gram-positive and Gram-negative bacteria, levofloxacin and cefotaxime were the most sensitive. Conclusion Respiratory tract bacterial infection is the main infection in patients with cerebral infarction in hospital emergency department, cefotaxime or levofloxacin is the first choice in fine bacteria infection, ketoconazole or fluconazole is the first choice in the treatment of fungal infection.
【作者单位】：湖北民族学院附属民大医院急诊医学科;
【基金】：基金项目:湖北省卫生厅(2014110602)
【分类号】：R743.33

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