摘要
目的:探讨预防及控制神经外科气管切开患者呼吸道阴沟肠杆菌感染的措施。方法:对我院2008年3月-2012年3月间神经外科65例行气管切开患者的资料进行回顾性分析。结果:65例均发生呼吸道感染,发生率为100%,培养致病菌16种173株。32例培养出阴沟肠杆菌共76株,占总病例的64.09%,总株数的43.93%,其耐药性高。其中23例病情好转后呼吸道感染治愈,9例死亡。结论:加强消毒隔离措施及气道护理。根据药敏试验联合使用抗生素是预防和控制神经外科气管切开患者呼吸道阴沟肠杆菌感染的重要手段。
Objective： To discuss the prevention and management of the respiratory tract Enterobacter cloacae infection in neurosurgery patients after tracheotomy. Methods：The data of 65 patients admitted in neurosurgery from March 2008 to March 2012 who underwent tracheotomy were analyzed retrospectively. Results： Respiratory tract infection occurred in all 65 cases,the incidence rate was 100~, 16 kinds and 173 strains Enterobacter cloacae were found, 76（43. 93~） strains of enterobacter cloacae were ~ound in 32 （64. 09~/~）cases, the drug resistance rate was higher. Conclusion： Strengthening the sterilization, isolation and airway management and selecting antibiotics based on drug sensitive test is the important methods to prevent and control nosocomial respiratory tract Enterobacter cloacae infection in neurosur- gery tracheotomy patient.
出处
《医学理论与实践》
2013年第22期2945-2947,共3页
The Journal of Medical Theory and Practice
关键词
神经外科
气管切开
医院感染
阴沟肠杆菌
Neurosurgery, Tracheotomy, Nosocomial infection, Enterohacter cloacae
