急诊科重症患者医院感染的危险因素调查

发布时间：2018-07-20 13:29

【摘要】：目的探讨急诊科重症患者医院感染的危险因素及预防措施。方法调查分析2007年1月~2008年12月急诊科危重抢救患者就诊疾病、侵入性操作、医院感染率、医院感染危险因素、感染部位及感染菌群分布情况。结果急诊科危重患者医院感染率为18.8%,以下呼吸道感染率为最高,占61.0%;医院感染危险因素为患者严重的基础疾病、多种侵入性操作,广谱抗菌药物和皮质激素的大量应用等;医院感染病原菌包括耐甲氧西林葡萄球菌(MRS)、肠球菌属、产超广谱β-内酰胺酶(ESBLs)细菌、铜绿假单胞菌和鲍氏不动杆菌、白色假丝酵母菌等耐药菌。结论必须采取切实的管理措施,预防和降低急诊科患者医院感染率。
[Abstract]:Objective to explore the risk factors and preventive measures of nosocomial infection in critical patients in emergency department. Methods from January 2007 to December 2008, we investigated and analyzed the disease, invasive operation, nosocomial infection rate, nosocomial infection risk factors, infection site and the distribution of bacterial flora in emergency department. Results the nosocomial infection rate of critical patients in emergency department was 18.8, the respiratory tract infection rate below was the highest (61.0%), the risk factors of nosocomial infection were serious basic diseases of patients, various invasive operations, extensive use of broad-spectrum antimicrobial agents and corticosteroids, etc. Nosocomial infection pathogens include methicillin-resistant Staphylococcus (Mrs), Enterococcus, extended-spectrum 尾 -lactamases (ESBLs) producing bacteria, Pseudomonas aeruginosa, Acinetobacter baumannii, Candida albicans and other drug-resistant bacteria. Conclusion effective management measures should be taken to prevent and reduce the nosocomial infection rate of emergency department patients.
【作者单位】：武钢第二职工医院急诊科;
【分类号】：R181.32

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