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目的:探讨耳鼻咽喉科住院患者医院感染情况,为耳鼻咽喉科住院患者的治疗提供依据。方法:选取2013年2月~2016年2月在浙江省丽水市中心医院接受治疗的1206例耳鼻咽喉科住院患者为研究对象,采用回顾性分析方法,分析不同病种医院感染率情况、医院感染部位情况、医院感染病原菌分布情况和病原菌菌株抗菌药物敏感性情况。结果:发生医院感染50例,感染率4.15%,非手术感染占8.00%,手术感染占92.00%。医院感染主要部位为手术切口,主要病原菌为铜绿假单胞菌、表皮葡萄球菌和大肠埃希菌3种;铜绿假单胞菌的主要敏感抗菌药物为头孢曲松、头孢他啶和环丙沙星,表皮葡萄球菌的主要敏感抗菌药物为头孢哌酮、环丙沙星和万古霉素,大肠埃希菌的主要敏感抗菌药物为头孢曲松、头孢哌酮和环丙沙星。结论:医院应根据感染情况,实施针对性的控制措施,加强抗生素合理使用管理,避免滥用产生耐药及感染发生。
Objective: To investigate the prevalence of nosocomial infections in otorhinolaryngology inpatients and provide evidence for the treatment of otolaryngology inpatients. Methods: A total of 1206 cases of otolaryngology inpatients admitted to Lishui Central Hospital from February 2013 to February 2016 were selected as research objects. The retrospective analysis method was used to analyze the prevalence of nosocomial infections and nosocomial infections Site conditions, the distribution of nosocomial infections and the susceptibility of pathogens to antibacterials. Results: 50 cases of nosocomial infection occurred, the infection rate was 4.15%, non-surgical infection was 8.00% and surgical infection was 92.00%. The main site of nosocomial infection was surgical incision. The main pathogens were Pseudomonas aeruginosa, Staphylococcus epidermidis and Escherichia coli. The main sensitive antibacterials of Pseudomonas aeruginosa were ceftriaxone, ceftazidime and ciprofloxacin, The main sensitive antibacterials of Staphylococcus epidermidis are cefoperazone, ciprofloxacin and vancomycin. The major antibacterial drugs of Escherichia coli are ceftriaxone, cefoperazone and ciprofloxacin. Conclusion: According to the infection, the hospital should implement specific control measures to strengthen the rational use of antibiotics to prevent drug abuse and abuse.