患儿全身麻醉气管插管后呼吸道感染病原菌及危险因素分析

发布时间：2018-05-20 12:44

本文选题：患儿 + 全身麻醉　；参考：《中华医院感染学杂志》2016年14期

【摘要】：目的研究患儿全身麻醉气管插管后呼吸道感染病原菌分布特征及危险因素,为降低感染率提供参考依据。方法分析2014年11月-2015年11月于医院诊治962例全身麻醉气管插管患儿临床资料,调查呼吸道感染率,采用自拟问卷调查表对患儿基本情况进行调查,采用单因素和多因素logistic分析,采集患者痰液标本进行菌种鉴定和药敏试验。结果 962例患儿中40例发生呼吸道感染,感染率4.16%;分离出60株病原菌,其中37株革兰阴性菌占61.67%,18株革兰阳性菌占30.00%,5株真菌占8.33%。结论患儿全身麻醉气管插管后呼吸道感染病原菌分布相对较广,且危险因素较多,应根据危险因素和药敏试验合理选择抗菌药物进行干预、治疗。
[Abstract]:Objective to study the pathogenic bacteria distribution and risk factors of respiratory tract infection after general anesthesia tracheal intubation in children, and to provide reference for reducing infection rate. Methods the clinical data of 962 children with general anesthesia tracheal intubation in hospital from November 2014 to November 2015 were analyzed. The respiratory tract infection rate was investigated. The basic conditions of the children were investigated by self-designed questionnaire, and single factor and multivariate logistic analysis were used. The sputum samples were collected for strain identification and drug sensitivity test. Results Respiratory tract infection occurred in 40 out of 962 children, the infection rate was 4.16%, and 60 pathogenic bacteria were isolated, of which 37 Gram-negative bacteria accounted for 61.677 and 18 Gram-positive bacteria accounted for 30.005 fungi. Conclusion the distribution of pathogenic bacteria of respiratory tract infection in children with general anesthesia tracheal intubation is relatively wide and there are many risk factors. It is necessary to choose antibiotics reasonably according to the risk factors and drug sensitivity test to intervene and treat them.
【作者单位】：重庆医科大学附属儿童医院麻醉科儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室儿童发育重大疾病诊治与预防国际科技合作基地;重庆市建设医院麻醉科;
【基金】：国家临床重点专科建设基金资助项目(国卫办医函【2013】544)
【分类号】：R726.1

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