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重度有机磷农药中毒患者尿路感染的病原学分析

Pathogenic analysis of urinary tract infection of patienta with Severe organopbosphate poisoning during rescuing treatment
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摘要 目的:探讨ICU内急性重度有机磷农药中毒患者在抢救治疗时合并尿路感染的病原学特点。方法:对ICU内的68例急性重度有机磷农药中毒留置导尿的患者,在治疗48h后,采取中段尿作细菌培养、定量分析及药敏试验,细菌学资料作统计学分析。结果:采取中段尿作细菌培养68例次,22次细菌培养阳性。分离菌株9种、24株细菌。主要以革兰阴性杆菌为主。18株占75%,革兰阳性球菌6株占25%。这些细菌具有多耐药性和较高的耐药率。结论:ICU内急性重度有机磷农药中毒留置导尿的患者易并发尿路感染,应进行病原微生物监测,加强临床观察和护理措施,减少医源性感染,提高ICU内急性重度有机磷农药中毒的抢救成功率。 Objective:To study the pathogenic characteristic of urinary tract infection for patients with severe organophosphate poisoning during resetting treatment in the intensive care unit (ICU). Methods :68 samples of clean meddle stream urine were collected form 68 patients with severe organophosphate poisoning after 48 hours of detaining urethral catheterization. Bacterial culture, drug - sensitive test and quantitative analysis were done. The data were analyzed statistically. Results:The 24 lines of pathogens were separated form 22 of the 68 samples. The chief pathogens were Gram -negative bacilli, 18 lines accounted for 75% while Gram - positive bacilli, 6 lines accounted for 25%. These pathogens possess multi - drug resistance and higher antiblotie resistance rate. Conclusion:The patients with severe organophosphate poisoning in ICU, especially those with detaining urethral catheterization longer than 48 hours can easily be affected by bacteriological pathogens and suffered urinary tract infection. It is necessary to monitor the species of these pathogens in order to guide the correct use of antibiotics, to prevent urinary tract infection for patients with severe organophosphate poisoning during detaining urethral catheterization in the intensive care unit (ICU) and to raise rescue achievement rate of these patient. It is important to strengthen clinical observation and to take effective nursing intervention.
作者 金彩珍
出处 《护理实践与研究》 2007年第12期8-9,共2页 Nursing Practice and Research
关键词 有机磷中毒 留置导尿 尿路感染 病原学分析 Organophosphate poisoning Detain urethral catheterization Urinary tract infection Pathogenic analysis
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  • 1Rotstein OD,Meakins JL.Diagnostic and therapeutic chdlenges of intraabdominal infections.World Surg,1990,14(2):159
  • 2Marshall JC, Chiston NV, Meakins JL. The gastrointestinal tract the “undrained abscess”of multiple organ failure.Ane Surg,1993,218(2):111-113
  • 3Xiao Xiaowei,Yuan Guanghui. Bacterial infection in schistosomiasis cirrhosis.Chinese J Parasitic Disease Control,1997,10(4):296
  • 4Xiao Xiao wei.Bacterial infections in cirrhotic patients with hepatocellular carcinoma.China Natl J New Gastroenterol,1996,2(1):22
  • 5Xiao Xiaowei. Bacterial infection in cirrhotic patients with hepatoeellular carcinoma[J]. China Natl J New Gastroenterol, 1996,2(1):22-24.
  • 6叶任高主编.内科学.第六版[M].北京:人民卫生出版社,2002:558-569.
  • 7Xiao Xiao wei.Bacterial infections in cirrhotic patients with hepatocellular carcinoma[J].China Natl J New Gastroenterol,1996,2(1):22-24.
  • 8肖小炜.癌症患者细菌性败血症的诊治[J].现代诊断与治疗,1997,8(5):297-298. 被引量:16
  • 9王辉,高屹,陈民钧.简介美国NCCLS药敏试验法规(1999年1月版)的变动部分[J].中华医学检验杂志,1999,22(5):318-320. 被引量:59
  • 10王捷,肖小炜.大肠癌第三类腹膜炎的诊治[J].中国综合临床,2000,16(2):119-120. 被引量:11

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