多重耐药菌肺部感染的危险因素分析

The Risk Factors and Nursing of Multidrug-Resistant Organism

目的分析我院多重耐药菌肺部感染病菌种类,总结其危险因素。方法 2009年1月-2016年6月我院共收治多重耐药肺部感染患者70例,分析病菌种类和治疗效果。结果我院多重耐药菌种主要为铜绿假单胞菌(45.71%)、肺炎克雷伯菌(24.29%)、鲍曼不动杆菌(15.71%)和金黄色葡萄球菌(12.86%);引起肺部主要感染的危险因素为抗菌药使用不合理、机械通气、住院天数较长、吸烟史以及合并其它基础疾病;经积极治疗后,85.71%患者好转出院。结论多重耐药菌肺部感染并不可怕,找出危险因素,明确病原菌,是提高本病康复的关键。

Objective Study the pathogens of multidrug-resistant organism in our hospital, and to analyze the risk factors. Methods From January 2009 to June 2016, 70 patients with MDRO were treated in our hospital. The types of pathogens and their therapeutic effects were analyzed. Results In our hospital, the majority of MDRO were pseudomonas aeruginosa（45.71%）, klebsiellapneumoniae（24.29%）, acinetobacterbaumannii（15.71%）, staphylococcusaureus（12.86%）. The risk factors of MDRO were irrational use of antibiotics, indwelling gastric tube, mechanical ventilation, long hospital stay, smoking history and other underlying diseases. Based on the infection risk factors to given care, more than 85.71% of patients with MDRO were improved. Conclusion MDRO is not terrible, to find its risk factors and pathogenic species, can reduce the probability.