摘要
目的探究感染科患者多重耐药菌感染危险因素及护理对策。方法回顾性分析某医院感染科收治的150例细菌感染患者的临床资料。87例患者发生多重耐药菌感染,列入多重耐药菌组,而剩余的113例患者列入非多重耐药菌组。采取单因素和二元logistic回归分析方法,分析患者的临床资料与多重耐药菌感染的关系,确定多重耐药菌感染的危险因素。根据危险因素制定相应的护理对策。结果多重耐药菌组和非多重耐药菌组的外伤、手术、住院时间、机械通气、中心静脉置管、留置导管(胃管、尿管等)、胃肠外营养和广谱抗菌药物使用时间比较,差异均有统计学意义(P<0.05)。二元logistic回归分析发现,手术(OR:3.587,95%CI:1.687～7.627)、住院时间≥7 d(OR:14.466,95%CI:6. 900～30.329)、中心静脉置管(OR:2.853,95%CI:1.025～7.940)、留置导管(胃管、尿管等)(OR:2.848,95%CI:1.550～5.231)及广谱抗菌药物使用时间≥3 d(OR:10.423,95%CI:5.336～20.360)是感染科患者多重耐药菌感染的危险因素(P<0.05)。结论感染科患者多重耐药菌感染的危险因素提示医护人员要密切监控高危患者的多重耐药菌感染情况,以有效减少多重耐药菌感染的发生。
Objective To explore the risk factors of multidrug-resistant bacterial(MDRB)infection of patients in the department of infectious disease and nursing strategy.Methods A retrospective study was carried out in 150 patients with bacterial infections in the department of infectious disease from the hospital.Eighty-seven cases were with MDRB infection and belonged to the MDRB group,and remaining 113 cases were not with MDRB infection and belonged to the non-MDRB group.Single factor analysis and binary logistic analysis were used to analyze clinical data relations with the MDRB infection,in order to identify risk factors.The nursing strategy was made according to the risk factors.Results The differences in age,diabetic nephropathy,heart failure,dialysis age,length of stay,skin infection and antibacterial drug combination trauma,operation,length of stay,mechanical ventilation,central venous catheteration,indwelling catheter(gastric tube,urinary catheter and so on),parenteral nutrition and use time of broad-spectrum antimicrobial agents between the MDRB group and the non-MDRB group were statistically significant(P<0.05).The binary logistic analysis showed that operation(OR:3.587 95%CI:1.687~7.627),length of stay≥7(OR:14.466,95%CI:6.900~30.329),central venous catheteration(OR:2.853,95%CI:1.025~7.940),indwelling catheter(gastric tube,urinary catheter and so on)(OR:2.848,95%CI:1.550~5.231)and use time of broad-spectrum antimicrobial agents≥3(OR:10.423,95%CI:5.336~20.360)were the risk factors of MDRB infection(P<0.05).Conclusion The risk factors of patients with MDRB infection in the department of infectious disease indicated that medical staff should pay close attention to MDRB infection status of high-risk patients,in order to reduce the MDRB infection rate.
作者
吴红娣
Wu Hongdi(Infection Dept.,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)
出处
《中国医院统计》
2018年第5期392-394,398,共4页
Chinese Journal of Hospital Statistics
关键词
感染科
多重耐药菌
感染
危险因素
护理对策
department of infectious disease
multidrug-resistant bacteria
infection
risk factor
nursing strategy
