ICU手术患者多重耐药菌感染危险因素分析

发布时间：2018-05-28 00:25

  本文选题：重症监护室 + 手术患者　； 参考：《中国消毒学杂志》2014年07期

【摘要】：目的了解重症监护室(ICU)手术患者多重耐药菌(MDROS)感染现状及危险因素,为预防与控制MDROs感染提供参考依据。方法通过回顾性调查和目标性监测,对某医院ICU手术患者MDROs的感染情况进行监测,分析相关危险因素。结果该医院ICU共收治患者5 081例,包括手术患者859例和非手术患者4 222例。手术患者中发生MDROs感染268例,感染率31.20%;非手术患者中发生MDROs感染1 069例,感染率25.32%。MDROs感染与神经外科、胸外科、骨科等科室的手术及APACHEⅡ评分分值高(≥21分)有密切关系,构成MDROs感染的主要危险因素。结论 ICU手术患者MDROs感染率明显高于非手术患者,应将高危科室手术患者作为MDROs感染重点防控对象,采取必要的预防控制措施。
[Abstract]:Objective to investigate the status and risk factors of MDROS infection in patients undergoing ICU operation in intensive care unit (ICU), so as to provide reference for prevention and control of MDROs infection. Methods by retrospective investigation and objective monitoring, the infection of MDROs in patients undergoing ICU operation in a hospital was monitored and related risk factors were analyzed. Results there were 5 081 cases of ICU in this hospital, including 859 cases of operation and 4 222 cases of non operation. There were 268 cases of MDROs infection and 1 069 cases of MDROs infection in non-operative patients. The infection rate of 25.32%.MDROs was closely related to the high score of APACHE 鈪，

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