CAJ | 학술논문

目的总结我院多重耐药菌感染的分布及相关因素分析，探讨发生多重耐药菌感染的原因，以及多重耐药菌感染患儿的护理，以降低感染率。方法对儿童医院收治的2904里细菌感染性疾病的患儿进行病原学检测，同时做相应的药物敏感试验，分析发生多重耐药的相关因素，并进行护理干预，建立预防和控制措施，严格实施隔离措施，建立监督和处罚制度，把零宽容理念应用于多重耐药菌感染防控中。结果多重耐药菌感染与易感因素、住院时间，侵袭性操作，抗生素的滥用有关。通过护理干预，有效地预防和控制了多重耐药菌在医院内的传播，保障了患儿医疗安全。结论根据相关危险因素的分析结果，加强多重耐药菌病儿的管理，采取相应的护理对策，从而降低发生率，促进患儿早日康复。
목적총결아원다중내약균감염적분포급상관인소분석，탐토발생다중내약균감염적원인，이급다중내약균감염환인적호리，이강저감염솔。방법대인동의원수치적2904리세균감염성질병적환인진행병원학검측，동시주상응적약물민감시험，분석발생다중내약적상관인소，병진행호리간예，건립예방화공제조시，엄격실시격리조시，건립감독화처벌제도，파령관용이념응용우다중내약균감염방공중。결과다중내약균감염여역감인소、주원시간，침습성조작，항생소적람용유관。통과호리간예，유효지예방화공제료다중내약균재의원내적전파，보장료환인의료안전。결론근거상관위험인소적분석결과，가강다중내약균병인적관리，채취상응적호리대책，종이강저발생솔，촉진환인조일강복。
Objective In order to investigate the cause of the multi-resistant ogannism infection and strengthen pediatric care measures to reduce the rate of infection,by summerizing some multi-resistant organism infection distribution and analysis of related factors. Methods There are 2904 children with bacterial infections were included in pathogen detection,bacterial susceptibility testing and analysis of the related factors of multi-resistant ogannism infection. Meanwhile,strengthen the nursing intervention in the children with multi-resistant ogannism infection and the concept of zero tolerance is applied to the multi-drug management. Results The multi-resistant ogannism infection are connected with risk factors,duration of hospitalization,invasive procedures and abuse of antibiotics. The nursing interventions can ef ectively control the spread of multi-resistant organnism in the hospital and protect the children,s medical safety. Conclusion According to the results of the analysis of the risk factors, strengthening the management of the children with multi-resistant ogannism infection can reduce the morbidity in children,and ensure the children with a speedy recovery.