中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
28期
3394-3397
,共4页
范和红%田冬梅%孙永习%刘培跃
範和紅%田鼕梅%孫永習%劉培躍
범화홍%전동매%손영습%류배약
ICU%下呼吸道感染%鲍曼不动杆菌%耐药性%护理
ICU%下呼吸道感染%鮑曼不動桿菌%耐藥性%護理
ICU%하호흡도감염%포만불동간균%내약성%호리
ICU%Lower respiratory tract infections%Acinetobacter baumannii%Drug resistance%Nursing
目的 探讨ICU病房下呼吸道感染患者鲍曼不动杆菌(AB)的耐药特点,及其相关护理干预措施对控制ICU鲍曼不动杆菌感染的作用.方法 对从26例ICU住院下呼吸道感染患者痰液标本中分离的26株AB分析耐药特性,并比较耐泰能鲍曼不动杆菌(IRAB)和泰能敏感的鲍曼不动杆菌(ISAB)的耐药性差别,及其ICU病房中分离的AB与非ICU病房分离的AB耐药性差别,总结相应的护理干预措施.结果 ICU分离的26株鲍曼不动杆菌对15种抗菌药物的敏感性,AB对磷霉素的敏感性最强,为88.5％,对三代头孢菌素等其他种类的抗菌药物敏感性都很低;26株AB,IRAB15株,占57.7％;ISAB11株,占42.3％.IRAB与ISAB耐药性比较,IRAB对头孢曲松、四环素、哌拉西林、氨曲南、复方磺胺、左氧氟沙星的耐药率达到100％,其他种类的抗菌药物的耐药率也很强,要强于ISAB(P＜0.01或P＜0.05).结论 ICU病房鲍曼不动杆菌耐药性强,治疗较为棘手,因此在使用敏感抗菌药物治疗同时,必须对患者采取相应护理措施,加强医院感染管理力度,做好隔离措施,避免交叉感染,保护其他易感患者.
目的 探討ICU病房下呼吸道感染患者鮑曼不動桿菌(AB)的耐藥特點,及其相關護理榦預措施對控製ICU鮑曼不動桿菌感染的作用.方法 對從26例ICU住院下呼吸道感染患者痰液標本中分離的26株AB分析耐藥特性,併比較耐泰能鮑曼不動桿菌(IRAB)和泰能敏感的鮑曼不動桿菌(ISAB)的耐藥性差彆,及其ICU病房中分離的AB與非ICU病房分離的AB耐藥性差彆,總結相應的護理榦預措施.結果 ICU分離的26株鮑曼不動桿菌對15種抗菌藥物的敏感性,AB對燐黴素的敏感性最彊,為88.5％,對三代頭孢菌素等其他種類的抗菌藥物敏感性都很低;26株AB,IRAB15株,佔57.7％;ISAB11株,佔42.3％.IRAB與ISAB耐藥性比較,IRAB對頭孢麯鬆、四環素、哌拉西林、氨麯南、複方磺胺、左氧氟沙星的耐藥率達到100％,其他種類的抗菌藥物的耐藥率也很彊,要彊于ISAB(P＜0.01或P＜0.05).結論 ICU病房鮑曼不動桿菌耐藥性彊,治療較為棘手,因此在使用敏感抗菌藥物治療同時,必鬚對患者採取相應護理措施,加彊醫院感染管理力度,做好隔離措施,避免交扠感染,保護其他易感患者.
목적 탐토ICU병방하호흡도감염환자포만불동간균(AB)적내약특점,급기상관호리간예조시대공제ICU포만불동간균감염적작용.방법 대종26례ICU주원하호흡도감염환자담액표본중분리적26주AB분석내약특성,병비교내태능포만불동간균(IRAB)화태능민감적포만불동간균(ISAB)적내약성차별,급기ICU병방중분리적AB여비ICU병방분리적AB내약성차별,총결상응적호리간예조시.결과 ICU분리적26주포만불동간균대15충항균약물적민감성,AB대린매소적민감성최강,위88.5％,대삼대두포균소등기타충류적항균약물민감성도흔저;26주AB,IRAB15주,점57.7％;ISAB11주,점42.3％.IRAB여ISAB내약성비교,IRAB대두포곡송、사배소、고랍서림、안곡남、복방광알、좌양불사성적내약솔체도100％,기타충류적항균약물적내약솔야흔강,요강우ISAB(P＜0.01혹P＜0.05).결론 ICU병방포만불동간균내약성강,치료교위극수,인차재사용민감항균약물치료동시,필수대환자채취상응호리조시,가강의원감염관리력도,주호격리조시,피면교차감염,보호기타역감환자.
Objective To investigate the drug resistance of Acinetobacter baumannii (AB) in patients with lower respiratory tract infection in ICU ward,and to explore the effect of related nursing interventions.Methods 26 strains resistant characteristics AB were separated from the sputum samples collected from 26patients with the lower respiratory tract infection in ICU and imipenem-resistsnt Acinetobecter baumannii (IRAB) and imipenem-sensitive Acinetobacter baumannii (ISAB) differences in drug resistance were compared,and the difference of drug resistance between AB collected from ICU wards and non-ICU wards were compared too,the appropriate nursing interventions was summed up.Results 26 strains AB were susceptible to 15 kinds of antibiotics,and most of them were susceptible to fosfomycin ( about 88.5％ ),but resistant to other antibiotics like cephalosporins; 15 strains IRAB (57.7％) and llstrains ISAB (42.3％) among the 26 strains.IRAB was absolutely resistant to the following drugs:Ceftriaxone,vetracycline,Piperacillin,Aztreonam,SMz and Levolloxacin compared to ISAB,it was also resistant to other antibiotics ( P ＜ 0.0l or P ＜ 0.05 ).Drug resistance of AB in ICU was stronger than in non-ICU (P ＜ 0.05 ).Conclusions Resistant of AB in ICU was strong,and the treatment was more difficult.Besides using sensitive antibiotic therapy,we must strengthen the nursing care,apply the corresponding measures to strengthen the hospital infection management,prevent cross infection and protect the vulnerable patients.
