心血管内科住院患者医院感染情况分析

目的 分析心血管内科住院患者医院感染情况,为医院感染的防治提供参考.方法 回顾性分析2016年心血管内科住院患者医院感染的送检标本1881例,统计感染标本来源分布、病原体种类分布、药敏结果.结果 感染标本以痰液、血液、尿液为主,排名前7位的病原体依次为白色念珠菌、大肠埃希菌、肺炎克雷伯菌、热带念珠菌、铜绿假单胞菌、鲍曼不动杆菌、表皮葡萄球菌,白色念珠菌对主要抗真菌药物均敏感,革兰阴性杆菌对庆大霉素、妥布霉素较敏感,表皮葡萄球菌对庆大霉素、利奈唑胺、万古霉素等较敏感.结论 心血管内科住院患者医院感染有其特殊性,提高临床操作的规范性、合理使用抗生素、积极治疗原发病、加强营养支持治疗及考虑发生医院感染时尽早进行病原学检查并根据结果制定治疗方案十分重要.

Objective To analyze the nosocomial infection of hospitalized patients in the cardiovascular department,and to provide reference for the prevention and treatment of hospital infection.Methods A retrospective analysis was conducted on 1881 cases of hospital infection in the cardiovascular department of Zhejiang Province People's Hospital in 2016.Results Most of the infection samples were collected from sputum,blood,urine.The top 7 pathogens were Candida albicans,Escherichia coli,Klebsiella pneumoniae,Candida tropicalis,Pseudomonas aeruginosa,Acinetobacter Bauman,Staphylococcus aureus,Candida albicans was sensitive to the main antifungal drugs,gram negative bacilli was sensitive to gentamicin,tobramycin,Staphylococcus epidermidis was sensitive to gentamicin,linezolid and vancomycin.Conclusion Patients with hospital infection has its particularity in cardiovascular.It is very important to improve the standardization of clinical operation,rational use of antibiotics,active treatment of primary diseases,strengthening nutritional support treatment and early pathogenic examination when nosocomial infection occurs,and formulate treatment plan according to the results.