论文部分内容阅读
目的:探析呼吸内科机械通气患者医院感染的特点与管理对策,为降低医院感染的发生率探索路径。方法:回顾性分析2009年10月～2011年10月本院呼吸内科机械通气患者发生医院感染的临床资料,并与同时期没有进行机械通气患者的情况进行比较分析,以期从中找出差异。结果:共47例患者发生医院感染,其中机械通气患者18例,以金黄色葡萄球菌、鲍曼不动杆菌以及铜绿假单胞菌为主;在耐药率方面,机械通气患者的耐药率与非机械通气患者比较差异具有显著性(P<0.05),机械通气患者高于非机械通气患者。结论:呼吸内科机械通气患者比较容易出现医院感染,而且菌株耐药率较高。在护理以及治疗当中,必须严格无菌操作,严格掌握抗生素使用指征,最大程度降低机械通气患者医院感染发生率。
Objective: To explore the characteristics and management strategies of nosocomial infections in patients with respiratory medical mechanical ventilation, and explore ways to reduce the incidence of nosocomial infections. Methods: The clinical data of nosocomial respiratory infections in patients with respiratory diseases in our hospital from October 2009 to October 2011 were analyzed retrospectively. The data were compared with the data of patients without mechanical ventilation during the same period to find out the differences. Results: A total of 47 patients developed nosocomial infections, including 18 patients with mechanical ventilation, which were mainly Staphylococcus aureus, Acinetobacter baumannii and Pseudomonas aeruginosa. In drug resistance rate, the drug resistance rate in patients with mechanical ventilation Compared with non-mechanical ventilation patients was significant (P <0.05), mechanical ventilation was higher than non-mechanical ventilation patients. Conclusion: Patients with mechanical ventilation in respiratory medicine are more likely to have nosocomial infection and the strains are more resistant. In the care and treatment, must be strictly aseptic operation, strict control of indications for antibiotics to minimize the incidence of nosocomial infections in patients with mechanical ventilation.