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护理举措在预防医院内获得艰难梭菌相关腹泻的作用 被引量:7

NURSING MEASURES IN THE PREVENTION OF HOSPITAL - ACQUIRED CLOSTRIDIUM DIFFICILE - ASSOCIATED DIARRHEA BELONGS
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摘要 目的探讨护理举措在预防医院内获得艰难梭菌相关腹泻中的作用。方法选取2011年6月1日~2012年12月31日期间在我院住院的268例住院后使用抗生素超过3天以上出现腹泻且为CDAD危险因素之一的患者。依选取科室分为观察组146例和对照组122例。观察组采用改良的护理措施实施干预,对照组采用传统的护理措施实施干预,统计分析不同护理方法条件下院内艰难梭菌相关腹泻的发病率。结果两组比较,观察组艰难梭菌相关腹泻在医院内的发病率为4.8%,对照组限难梭菌相关腹泻院内发生率为13.9%,观察组明显低于对照组,差异有统计学意义(p<0.05)。结论有效的护理举措对医院内获得艰难梭菌相关腹泻的预防有重要的作用。 Objective To explore nursing measures in the prevention of Hospital - acquired Clostridium dif- ficile - associated Diarrhea. Methods Select 2011.6.1-2012.12.31 during hospitalized in our hospital 268 cases in hospital after the use of antibiotics for more than 3 days or more appear diarrhea patients and one of the risk factors for the CDAD. In accordance with the selected departments are divided into observation group 146 cases and control group 122 cases. Observation group USES the improved nursing measures implementation of nursing intervention, control group adopted traditional nursing measures to intervene, statistical analysis of different nursing method under the condition of the incidence of Hospital - acquired Clostridium difficile - associated DiarrheaResults Compare two groups, observation group the incidence of diarrhea associated with clostridium difficile belongs in the hospital was 4. 8%, control group difficult clostridium related hospital - acquired diarrhea incidence was 13.9%, significantly lower than the observation group in the control group, the difference was statistically significant (p 〈 O. 05 ). Conclu- sion Within the effective nursing measures on hospital prevention of diarrhea associated with clostridium difficile be- longs is important role.
出处 《现代医院》 2013年第7期84-86,共3页 Modern Hospitals
基金 广东省医学科研基金(编号:A2011479)
关键词 护理举措 预防 医院内获得 艰难梭菌相关腹泻 Nursing measures, Prevention, Hospital- acquired, Clostridium difficite -associated Diarrhea
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  • 1池月英,曾庆红,黄少华.肠内营养相关性腹泻原因分析及护理对策[J].中国实用护理杂志(下旬版),2006,22(4):19-20. 被引量:64
  • 2毛春英.ICU患者肠内营养腹泻的原因及防治体会[J].中国医师杂志,2006,8(5):676-677. 被引量:85
  • 3Bartlett J G. Clinical practice. Antibiotic-associated diarrhea[J].N Engl J Med,2002,346(5) :334-339.
  • 4Loo V G.Poirier L, Miller M A, et al. A predominantly clonal multi-institutional outbreak of Clostridium difficile-associated diarrhea with high morbidity and mortali-ty[J].N Engl J Med,2005 ,353(23) : 2442-2449.
  • 5van der Kooi J I,Koningstein M, Lindemans A, et al. Antibiotic use and other risk factors at hospital level for outbreaks with Clostridium difficile PCR ribotype 027 [J].J Med Microbiol,2008,57(Pt 6) :709-716.
  • 6Soler P,Nogareda F,Cano R. Rates of Clostridium difficile infection in patients discharged from Spanish hospitals, 1997 — 2005 [J].Infect Control Hosp Epidemiol* 2008,29(9):887-889.
  • 7Mutters R, Nonnenmacher C,Susin C,et al. Quantitative detection of Clostridium difficile in hospital environmental samples by real-time polymerase chain reaction [J].J Hosp Infect,2009,71(1) :43-48.
  • 8Wilcox M H. Cleaning up Clostridium difficile infection [J].Lancet,1996,348(9030) :767-768.
  • 9Bidet P, Barbut F, Lalande V,et al. Development of a new PCR-ribotyping method for Clostridium difficile based on ribosomal RNA gene sequencing[J].FEMS Microbiol Lett,1999,175(2) :261-266.
  • 10Kuijper E J, van den Berg R J, Brazier J S. Comparison of molecular typing methods applied to Clostridium diffi-cile[J].Methods Mol Biol,2009(551) : 159-171.

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  • 1丁维俊,周邦靖,翟慕东,白华.参苓白术散对小鼠脾虚模型肠道菌群的影响[J].北京中医药大学学报,2006,29(8):530-533. 被引量:118
  • 2楼淑瑾.抗生素相关性腹泻相关因素与对策[J].辽宁中医药大学学报,2006,8(6):120-121. 被引量:11
  • 3蒋兆年.肉蔻四神丸治疗抗生素相关性腹泻21例临床观察[J].首都医药,2007,14(11X):44-44. 被引量:7
  • 4Hall IC,O Toole E.Intestinal flora in newborn infants with a description of a new pathogenic anaerobe,Bacillus difficile.Am J Dis Child 1935; 48: 390-402.
  • 5Thomas C,Stevenson M,Riley TV.Antibiotics and hospital-acquired Clostridium difficile-associated diarrhoea: a systematic review.J Antimicrob Chemother 2003; 51: 1339-1350.
  • 6Bartlett JG,Chang TW,Gurwith M,Gorbach SL,Onderdonk AB.Antibiotic-associated pseudomembranous colitis due to toxin-producing clostridia.N Engl J Med 1978; 298: 531-534.
  • 7O'Connor D,Hynes P,Cormican M,Collins E,Corbett-Feeney G,Cassidy M.Evaluation of methods for detection of toxins in specimens of feces submitted for diagnosis of Clostridium difficile-associated diarrhea.J Clin Microbiol 2001; 39: 2846-2849.
  • 8Mutters R,Nonnenmacher C,Susin C,Albrecht U,Kropatsch R,Schumacher S.Quantitative detection of Clostridium difficile in hospital environmental samples by real-time polymerase chain reaction.J Hosp Infect 2009; 71: 43-48.
  • 9Garg S,Mirza YR,Girotra M,Kumar V,Yoselevitz S,Segon A,Dutta SK.Epidemiology of Clostridium difficile-associated disease (CDAD): a shift from hospital-acquired infection to long-term care facility-based infection.Dig Dis Sci 2013; 58: 3407-3412.
  • 10McDonald LC,Coignard B,Dubberke E,Song X,Horan T,Kutty PK.Recommendations for surveillance of Clostridium difficile-associated disease.Infect Control Hosp Epidemiol 2007; 28: 140-145.

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