摘要
目的:探讨重症外科患者多重耐药菌感染的危险因素及护理对策。方法:采用回顾性分析方法,选择2018年2月—2020年2月平顶山市第一人民医院收治的92例感染病原菌(病原菌培养结果均为阳性)的重症外科患者作为研究对象,根据是否发生多重耐药菌感染将患者分为A组(多重耐药菌感染者)和B组(感染病原菌但非多重耐药菌感染者),统计两组患者的病历资料,采用多因素logistic回归分析重症外科患者多重耐药菌感染的危险因素,并根据危险因素,提出针对性的护理对策。结果:92例重症外科患者中,A组20例。A组住院时间比B组长,使用抗菌药种类比对照组多,有严重基础疾病、行机械通气治疗、使用尿道插管的例数比对照组高,差异有统计学意义(t=5.194,χ^(2)=12.859、14.801、20.126、10.602,P<0.05)。多因素logistic分析结果显示,住院时间≥15d、抗菌药物≥2种、有严重基础疾病、行机械通气治疗、使用尿道插管为重症外科患者多重耐药菌感染的危险因素,差异有统计学意义(P<0.05)。结果:使用抗菌药物种类多、住院时间长、有严重基础疾病、行机械通气治疗、使用尿道插管的重症外科患者发生多重耐药菌感染的风险较高,应针对以上因素进行相关护理干预,从多方面预防多重耐药菌感染的发生。
Objective:To explore the risk factors of multi-drug resistant bacteria infection in intensive surgery patients and their nursing strategies.Methods:A retrospective analysis method was used to select 92 critically ill surgical patients who were admitted to the hospital from February 2018 to February 2020 and were infected with pathogenic bacteria(all pathogenic bacteria culture results were positive).Patients were divided into group A(patients with multidrug-resistant bacteria infection)and group B(patients infected with pathogenic bacteria but not infected with multidrug-resistant bacteria)according to whether multidrug-resistant bacteria infection occurred.The medical records of the patients were counted,and the multivariate logistic regression was used to analyze the risk factors of multidrug-resistant bacterial infection in critically ill surgical patients,and the targeted nursing countermeasures were proposed according to the risk factors.Results:Among the 92 critical surgical patients,20 were infected with multidrug-resistant bacteria,with an infection rate of 21.74%,and 72 were in group B.The hospitalization time of group A was longer than that of group B,the use of more types of antibiotics,the number of patients with serious underlying diseases,mechanical ventilation,and urethral intubation were higher than those in the control group,and the difference was statistically significant(t=5.194,χ^(2)=12.859,14.801,20.126,10.602,P<0.05).The results of multivariate logistic analysis showed that hospitalization time≥15days,≥2 antibiotics,serious underlying diseases,mechanical ventilation,and urethral intubation were the risk factors for multidrug-resistant bacterial infection in critically ill surgical patients,and the differences were statistically significant(P<0.05)Conclusion:The risk of multidrug-resistant bacterial infection is higher in critically ill surgical patients who use a variety of antibiotics,have a long hospital stay,have serious underlying diseases,receive mechanical ventilation,and use uret
作者
李璐
LI Lu(Department of Critical Care Medicine,First People’s Hospital of Pingdingshan,Pingdingshan,Henan,467000,China)
出处
《黑龙江医学》
2022年第7期869-871,共3页
Heilongjiang Medical Journal
关键词
重症外科
多重耐药菌感染
危险因素
护理对策
Intensive surgery
Multi-drug resistant bacteria infection
Risk factors
Nursing strategy
