鲍曼不动杆菌感染的相关危险因素调查分析与防治

Survey and prevention of Acinetobacter baumannii infection-related risk factors

目的探讨鲍曼不动杆菌感染相关危险因素。方法 156例患者根据是否感染鲍曼不动杆菌分为感染组66例和非感染组90例,比较两组的烧伤总面积、是否进行机械通风、机械通风时间、气管切开、深静脉置管、抗生素使用时间等,并进行鲍曼不动杆菌感染相关危险因素的多因素分析。结果烧伤总面积、机械通风、抗生素使用时间、深静脉置管、有创性治疗操作过多以及免疫力低下,均可造成鲍曼不动杆菌感染及交叉感染的高危因素。结论鲍曼不动杆菌为导致烧伤患者严重感染的重要菌株之一,医护人员应增强无菌观念、严格执行无菌操作及隔离措施、规范性使用抗生素以及尽可能避免气管切开及深静脉置管等侵入性操作或缩短其时间等对鲍曼不动杆菌的感染和预防都有着很重要的意义。

Objective To investigate Acinetobacter baumannii infection related risk factors. Methods A total of 156 patients infected with Acinetobacter baumannii were divided into 66 cases of the infection group and nine cases of 90 case in non-infection group, the two groups were compared total burn area,whether mechanical ventilation, mechani- cal ventilation time,tracheotomy,deep vein tube, the use of antibiotics and boydii Acinetobacter multivariate analysis of risk factors associated with infection. Results The total burn area, mechanical ventilation, antibiotics ,use of time, deep venous catheter too many invasive treatment operations and immunocompromised may be caused by Acinetobac- ter baumannii infection and cross-infection risk factors. Conclusion Acinetobacter baumannii is one of the important strains cause severe infection of burn patients, medical staff should be enhanced sterile concept, strict aseptic and iso- lation measures,normative use of antibiotics as far as possible to avoid a tracheotomy and deep vein catheters and oth- er invasive procedures,or shorten the time of infection and prevention of Acinetobacter bacillus has a very important significance.