神经外科气管切开后呼吸道铜绿假单胞菌感染

Pseudomonas aeruginosa infection of respiratory tract in neurosurgery tracheotomy patients

目的探讨预防及控制神经外科气管切开患者呼吸道铜绿假单胞菌感染的措施。方法对我院2006年10月—2009年8月间神经外科29例行气管切开患者的资料进行回顾性分析。结果29例均发生呼吸道感染,发生率为100%,培养致病菌12种126株。18例培养出铜绿假单胞菌共52株,占总病例的62.07%,总株数的41.27%,其耐药性高。其中14例病情好转后呼吸道感染治愈,4例死亡。结论加强消毒隔离措施及气道护理,根据药敏试验联合使用抗生素是预防和控制神经外科气管切开患者呼吸道铜绿假单胞菌感染的重要手段。

Objective To discuss the prevention and management of the respiratory tract nosocomial Pseudomonas aeruginosa infection in neurosurgery patients after tracheotomy.Methods The data of 29 patients admitted in neurosnrgery from Oct 2006 to Aug 2009 who underwent tracheotomy were analyzed retrospectively.Results Respiratory tract infection occurred in all 29 cases, the incidence rate was 100%.12 kinds and 126 strains of pathogenic bacteria were found. Fifty two （41.27%） strains of Pseudomonas aeruginosa were found in 18 （62.07%） cases, the drug resistance rate was higher.Conclusion Strengthening the sterilization, isolation and airway management and selecting antibiotics based on drug sensitive test is the important methods to prevent and control nosocomial respiratory tract Pseudomonas aeruginosa infection in neurosurgery traeheotomy patient.