摘要
目的分析多重耐药鲍曼不动杆菌(Multidrug-resistant Acinetobacter baumannii,MDR-AB)感染患者临床特征,为医院的感染防控工作提供参考依据。方法回顾性分析某三甲医院2016年—2018年出院患者中有MDR-AB感染的109例患者的相关病历资料。结果109例患者中,男性人数多于女性(P<0.05),平均年龄为63.5±19岁,医院感染者住院时间>30天的人数多于住院时间≤30天(P<0.05);检出的115株MDR-AB中77.4%来源于痰,78.3%的感染部位是下呼吸道。结论MDR-AB的感染者,男性多于女性,年龄>60岁者居多,主要分布在重症医学科(ICU)、神经外科等有创操作和抗生素使用较多的科室,医院感染者中以住院时间>30天的居多;MDR-AB的主要感染部位是下呼吸道。
Objective To analyze the clinical features of patients with multidrug-resistant Acinetobacter baumannii infection,and to provide reference for the prevention and control of hospital infection.Methods Retrospective analysis of the medical records of 109 patients with MDR-AB infection who were discharged from a third-class A hospital in Guiyang from 2016 to 2018 was done.Results Of the 109 cases,there were more men than women(P<0.05),the mean age of infected patients was(63.5±19)years,the number of patients whose hospitalization time≤30 days was larger than the number of patients whose hospitalization time≤30 days(P<0.05).Among the 115 MDR-AB strains detected,77.4%came from sputum,and the infection site of 78.3%strains were in the lower respiratory tract.Conclusion In patients with MDR-AB,there are more males than females,the majority of infected people are older than 60 years and mainly in the department with invasive operation and more use of antibiotics;most of the patients with nosocomial infection are hospitalized for more than 30 days;the main site of infection of MDR-AB is the lower respiratory tract.
作者
梁娟
申戎君
王淑娟
杨东香
张向阳
LIANG Juan;SHEN Rong-jun;WANG Shu-juan(Hospital Infection-Control Department,Guihang Guiyang Hospital,Guiyang,Guiyang,550009,China)
出处
《黑龙江医学》
2020年第11期1554-1556,共3页
Heilongjiang Medical Journal
关键词
多重耐药鲍曼不动杆菌
临床特征
医院感染
社区感染
Multidrug-resistant Acinetobacter baumannii
Clinical characteristics
Nosocomial infection
Community infection
