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目的:分析多重耐药菌医院感染的临床分布特点及其护理预防对策。方法:采用回顾性调查方法,选取医院2014年度多重耐药菌医院感染患者的临床资料,分析多重耐药菌的分布和菌株检出率情况。结果:2014年度居前3位的多重耐药菌依次为大肠埃希菌、肺炎克雷伯菌和铜绿假单胞菌;患者感染部位以下呼吸道为主,感染科室分布主要集中在ICU,其次为泌尿外科、内分泌科;标本来源依次为痰液(占36.62%)、尿液(占30.04%)和分泌物(占25.20%);多重耐药菌检出较高的科室依次为ICU、泌尿外科和肾内分泌科。结论:加强住院患者多重耐药菌感染的监测,有针对性的加强人员的培训以及护理干预工作,可有效控制多重耐药菌医院感染的发生率。
Objective: To analyze the clinical distribution and nursing countermeasures of nosocomial infections of multidrug-resistant bacteria. Methods: The retrospective investigation method was used to select the clinical data of patients hospitalized with multidrug-resistant bacteria in hospital from 2014 to 2014, and to analyze the distribution of multiple drug-resistant bacteria and the detection rate of strains. Results: The top three multi-drug resistant strains in 2014 were Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa. The main respiratory tract was below the infection site, and the infection department was mainly concentrated in the ICU, followed by (36.62%), urine (30.04%) and secretions (25.20%). The departments with higher drug-resistant strains were ICU, Urology And renal endocrine department. Conclusion: To strengthen the monitoring of multiple drug-resistant bacterial infections in hospitalized patients, and to strengthen staff training and nursing interventions targetedly, which can effectively control the incidence of nosocomial infections with multiple drug-resistant bacteria.