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目的总结腹部手术后患者腹腔耐药菌感染的护理管理经验,预防院内交叉感染。方法回顾性分析某医院2012年8月-2013年10月腹部手术后患者腹腔获得耐药菌感染临床资料。结果 29例腹腔感染患者中共检出耐药菌74株,排前3位为大肠埃希菌48.65%、肺炎克雷伯菌16.2%、铜绿假单胞菌13.5%;混合性感染17例、单一感染12例。本组病例中,治愈26人,治愈率达89.66%,死亡2例,放弃治疗1例。结论做好患者隔离管理,加强医护人员感控培训和监督,严格执行环境卫生消毒,合理和正确使用抗菌素是预防控制患者院内感染有效措施。
Objective To summarize the nursing management experience of intraperitoneal drug-resistant bacterial infection after abdominal surgery and to prevent the cross-infection in the hospital. Methods The clinical data of intraperitoneal patients receiving drug-resistant bacterial infection after abdominal surgery in a hospital from August 2012 to October 2013 were retrospectively analyzed. Results A total of 74 strains of drug-resistant bacteria were detected in 29 patients with intraperitoneal infection. The top three were Escherichia coli (48.65%), Klebsiella pneumoniae (16.2%) and Pseudomonas aeruginosa (13.5%). The mixed infection was found in 17 cases Infection in 12 cases. In this group of patients, 26 were cured, the cure rate was 89.66%, 2 died, give up treatment in 1 case. Conclusion It is an effective measure to prevent and control nosocomial infections in patients with good management of patient isolation, strengthening the training and supervision of patients with pneumoconiosis, strict implementation of sanitation and disinfection, rational and correct use of antibiotics.