摘要
目的:调查颅脑损伤患者气管切开术后下呼吸道感染状况及探讨防治对策。方法:对我科2004年1月-2008年8月颅脑损伤行气管切开患者的病史资料进行回顾分析。结果:198例颅脑损伤行气管切开患者均出现下呼吸道感染,其中154例行细菌培养(77.8%),培养出致病菌194株,40例有双重感染(26.0%);革兰阴性杆菌126株(65.0%),革兰阳性球菌54株(27.8%),真菌14株(7.2%),这些菌株对临床常用抗菌药物都有不同程度的耐药性。198例下呼吸道感染经治疗感染控制者160例,总有效率为80.8%。结论:在气管切开术后,颅脑损伤患者下呼吸道感染发生率高,危险因素多,较难控制,应采取有效措施控制医院感染的发生。
OBJECTIVE To investigate patients with traumatic brain injury after tracheotomy lower respiratory infection and explore its countermeasures. METHODS The clinical data of patients treated with tracheotomy after traumatic brain injury, in our department from January, 2004 to August 2008, were analyzed retrospectively. RESULTS All the patients were the lower respiratory tract infections, of which 154 cases were routined bacterial culture （77. 8%）, cultivate pathogens 194, 40 cases were double infections （26. 0%）; 126 gram-negative bacilli accounted for （65.0%）, gram-positive cocci accounted for 54 （27. 8%）, fungi accounted for 14 （7.20%）. The commonly used antibiotics in clinical strains have different levels of drug resistance. 160 cases of lower respiratory tract infection were infection control,and the total effective rate was 80. 8%. CONCLU- SION The patients with tracheotomy after traumatic brain injury have a high incidence of lower respiratory tract infection, which are difficult to control. So the doctor must take effective measures to control hospital infection.
出处
《中国医院药学杂志》
CAS
CSCD
北大核心
2010年第7期591-592,共2页
Chinese Journal of Hospital Pharmacy
关键词
颅脑损伤
气管切开
下呼吸道感染
感染防治
traumatic brain injury
tracheotomy
lower respiratory tract infection
infection control
