ICU气管切开后医院获得性肺炎感染患者特点和干预对策

Clinical features of patients with hospital-acquired pneumonia infection after tracheotomy in ICU and its intervention strategies

目的探究ICU气管切开后医院获得性肺炎感染患者的临床特点及预防对策。方法选取我院2011年3月-2013年3月收治的361例ICU气管切开患者进行回顾分析,并按照其感染情况分为感染组及非感染组,进行分组对比。结果 361例患者中,共有61例出现医院获得性肺部感染,感染率为16.9%,感染组61例感染患者共分离出65例革兰阴性菌,占76.5%,11例革兰阳性菌,占12.9%,9例真菌,占10.6%。结论 ICU气管切开后医院获得性肺炎感染的病原菌主要为鲍曼不动杆菌及肺炎克雷伯菌菌,多导致呼吸急促、多痰等症状,应采取预防性护理、合理应用抗菌药物及气道湿化等,针对感染原因,降低感染发生风险。

Objective To explore the clinical features of patients with hospital - acquired pneumonia infec- tion after tracheotomy in ICU and its intervention strategies. Methods 361 patients received tracheal incision were divided into the infection group and the non-infection group. Their clinical features were compared. Results There were 61 cases of hospital - acquired pulmonary infection, and the infection rate was 16.9%. 65 strains of gram-nega- tive bacteria were isolated from the infection group, accounting for 76. 5% , 11 strains of gram - positive bacteria ac- counting for 12.9%, and 9 strains of fungal accounting for 10. 6%. Conclusion The main pathogen of pneumonia infection is mainly Bauman acinelnbacter and klebsiella pneumoniae, which can cause shortness of breath, sputum and other symptoms.