非结核型分枝杆菌感染患者31例护理管理体会

Nursing experience of non tuberculosis mycobacterium infection in 31 cases

目的:提高非结核分枝杆菌感染患者的护理管理水平。方法:收治非结核分枝杆菌感染患者31例,对他们的临床表现、诊治、护理过程及效果进行回顾分析。结果:非结核型分枝杆菌感染患者对大多数抗结核药物呈原始耐药,治疗困难,误诊误治多,龟分枝杆菌对克拉霉素、丁胺卡那霉素最为敏感。结论:对久治不愈或反复发作的脓肿患者需提高警惕性,及时行分枝杆菌的菌型鉴定及药敏测定,以免延误了非结核型分枝杆菌感染的诊断和治疗;并提出非结核型分枝杆菌感染患者管理及护理的操作要点。

Objective:To improve the level of nursing care of the patients with non tuberculosis mycobacterium infection.Methods: The clinical manifestation, diagnosis and treatment,nursing process and effects of 31 patients infected with Mycobacterium non tuberculosis were retrospectively analyzed.Non tuberculosis mycobacterium infection in patients was the original drug resistance with the most anti tuberculosis drugs,and its treatment was difficult with more erroneous diagnosis and treatment.Mycobacterium chelonei was the most sensitive to clarithromycin and amikacin.Conclusion:We need to be wary of the patients with persistent or recurrent abscess and determine the types of mycobacteria and drug sensitivity promptly,so as not to delay the diagnosis and treatment of non tuberculosis mycobacterium infection.We put forward the key points of management and nursing care of patients with non tuberculous mycobacterial infection.