CAJ | 학술논문

目的：分析ICU鲍曼不动杆菌感染的原因，探讨其应对策略。方法回顾性分析2010年9月11日至10月4日我院监测综合ICU鲍曼不动杆菌感染情况，分析感染原因，总结相关护理对策。结果共观察到7例痰培养示多重耐药鲍曼不动杆菌患者，经痰培养及药敏试验显示，鲍曼不动杆菌对哌拉西林/他唑巴坦敏感性最强，为3例；对头孢噻肟、亚胺培南、阿米卡星、左氧氟沙星、美罗培南的敏感率均为1例。结论针对ICU鲍曼不动杆菌感染，执行消毒及隔离措施、强化院感知识及手卫生管理，同时加强人工气道管理及环境控制，缩短患者ICU住院时间，并发挥护理人员在执行医嘱中的监督作用促进科学应用抗菌药物，均为鲍曼不动杆菌感染的有效应对策略，通过院内综合管理，相关部门积极配合，能够取得满意的防控效果。
목적：분석ICU포만불동간균감염적원인，탐토기응대책략。방법회고성분석2010년9월11일지10월4일아원감측종합ICU포만불동간균감염정황，분석감염원인，총결상관호리대책。결과공관찰도7례담배양시다중내약포만불동간균환자，경담배양급약민시험현시，포만불동간균대고랍서림/타서파탄민감성최강，위3례；대두포새우、아알배남、아미잡성、좌양불사성、미라배남적민감솔균위1례。결론침대ICU포만불동간균감염，집행소독급격리조시、강화원감지식급수위생관리，동시가강인공기도관리급배경공제，축단환자ICU주원시간，병발휘호리인원재집행의촉중적감독작용촉진과학응용항균약물，균위포만불동간균감염적유효응대책략，통과원내종합관리，상관부문적겁배합，능구취득만의적방공효과。
Objective To analyze the reasons of acinetobacter baumannii infection in ICU and explore the management measures.Methods Retrospective analysis was made to the infections of acinetobacter baumannii in our hospital's ICU from September 11 to October 4, 2010.And To analyze the cause of infection and summarize the relevant nursing measures .Results Seven patients with acinetobacter baumannii infection were observed by using sputum cultures .The result of sputum culture and medicine sensitivity test showed that piperacillin/tazobactam was most sensitive for anti acinetobacter baumannii infection , and there were 3 patients sensitive to piperacillin/tazobactam and patients with sensitive to cefotaxime , imipenem, amikacin, levofloxacin, and meropenem were observed in one cases respectively .Conclusions The effective management measures for anti acinetobacter baumannii infection include the implementation of disinfection and isolation measures, the enhancement of hospital infection knowledge and hand hygiene management , the strengthening of artificial airway management and environmental control ,the shorter hospital stays in ICU,and the promotion of the scientific application of antibiotics by the performance of the supervisory role of nurses in carrying out the doctor's order.The satisfaction effect of prevention and control can be achieved through the hospital 's integrated management and the cooperation with relevant departments .