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目的分析鲍曼不动杆菌医院感染危险因素及预防措施。方法以70例鲍曼不动杆菌感染患者及120例鲍曼不动杆菌敏感株感染患者为研究对象,对鲍曼不动杆菌医院感染相关因素进行单因素及多因素回归。结果年龄大于或等于60岁、急性病理生理和慢性健康评分Ⅱ(APACHEⅡ)>20分、抗菌药物应用种类数量较多、抗菌药物治疗时间越长、合并感染及深静脉留置是鲍曼不动杆菌医院感染的独立危险因素(P<0.05)。结论合理使用抗菌药物、缩短患者住院时间、严格执行消毒隔离措施等,可有效避免鲍曼不动杆菌医院感染的发生。
Objective To analyze the risk factors of nosocomial infection of Acinetobacter baumannii and preventive measures. Methods A total of 70 cases of Acinetobacter baumannii infection and 120 cases of Acinetobacter baumannii susceptible strains were selected as the research objects. The factors related to hospital infection of Acinetobacter baumannii were analyzed by single factor and multi-factor regression. Results The patients were older than or equal to 60 years old, acute pathophysiological and chronic health score Ⅱ (APACHEⅡ)> 20 points, the number of antibacterials was more, the duration of antimicrobial treatment was longer, the infection and deep vein indwelling were Acinetobacter baumannii Independent risk factors for nosocomial infection (P <0.05). Conclusion The rational use of antimicrobial agents, shorten the hospital stay, strict implementation of disinfection and isolation measures, which can effectively prevent Acinetobacter nosocomial infection.