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鲍曼不动杆菌医院感染调查及其危险因素探讨 被引量:66

SITUATION AND RISK FACTORS OF ACINETOBACTER BAUMMANNII NOSOCOMIAL INFECTION
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摘要 目的 :探讨鲍曼不动杆菌医院感染现状及危险因素。方法 :对重庆市 4所医院 2 0 0 0年 1月 1日~ 2 0 0 0年12月 31日发生鲍曼不动杆菌医院感染 14 0例患者的危险因素进行 1∶1病例对照研究。结果 :鲍曼不动杆菌感染均为医院感染 ,感染病死率为 9% ,感染部位以下呼吸道和手术切口为主。发生医院感染危险因素为病情轻重、免疫抑制剂、机械通气使用、抗生素使用种类。结论 :鲍曼不动杆菌是医院感染的重要病原菌 ,且多重耐药 ,故应尽可能控制该感染的发生。 Objective:To determine some risk factors of Acinetobacter baummannii nosocomial infection.Methods:The 140 Acinetobacter baummannii with nosocomial infection were chosen as cases from the impatients of a teaching hospital for 1∶1 case control study.Results:It was found that the incidence rate of nosocomial infection in Acinetobacter baummannii was 100%,and the fatality rate of it was 9%.The organs which were the easiest to be attacked by nosocomial infection were the lung and the wound. Some risk factors of acquiring nosocomial infection in Acinetobacter baummannii remained significant through logistic regression, such as state of an illness,immunosuppressant, mechanical ventilation,taking antibiotics more than 3 kinds.Conclusion:Acinetobacter baummannii strain is an important pathogenic germ of nosocomial infection and it is multiple-drug resistance. This is the most important step to control nosocomial infection of Acinetobacter baummannii strain in the hospital.
出处 《中国现代医学杂志》 CAS CSCD 2003年第4期59-61,67,共4页 China Journal of Modern Medicine
基金 全军"十五"科研基金课题资助项目 (0 1Q0 96)
关键词 鲍曼不动杆菌 医院感染 危险因素 病情轻重 免疫抑制剂 机械通气 抗生素 Acinetobacter Baummannii Nosocomial Infection Risk Factors
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