神经外科住院病人多重耐药菌感染调查及护理对策

Investigation on Multi-drug Resistant Infections and Nursing Countermeasuresin Inpatients in Neurosurgery Department

目的调查我院神经外科住院病人多重耐药菌感染情况,并探讨相应的护理对策。方法回顾性收集我院2017年1月至2019年4月收治的42名多重耐药菌感染患者的临床资料,分析每位患者的多重耐药菌感染结果差异。结果所有患者均检出耐药菌株,共计58株,其中检出率最高的菌株为肺炎克雷伯菌,共18株,占比31.03%,其次为大肠埃希菌和铜绿假单胞菌,各9株,占比15.52%,鲍曼不动杆菌6株,占比10.34%,其他种类病原菌共16株,占比27.59%。结论神经外科住院病人以肺炎克雷伯菌为主,护理人员应制定采取相关措施减少多重耐药菌感染率。

Objective To investigate the status of multi-drug resistant infections in inpatients in neurosurgery department of our hospital,and to explore the corresponding nursingcountermeasures.Methods The clinical data of 42 patients with multi-drug resistant infections admitted to our hospital from January 2017 to April 2019 were retrospectively analyzed.The differences in multi-drug resistant infection results of each patient were analyzed.Results A total of58 resistant strains were detected in all patients.The highest detection rate was Klebsiellapneumoniae(18 strains in total,accounting for31.03%),followed by Escherichia coliand Pseudomonas aeruginosa(each 9 strains,accounting for 15.52%),Acinetobacterbaumannii(6 strains,accounting for 10.34%)and other pathogens(16 strains,accounting for 27.59%).Conclusion The inpatients in neurosurgery department are mainly Klebsiellapneumoniae.Nursing staffs should formulate relevant measures to reduce the infection rate of multi-drug resistant bacteria.