临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
4期
658-660
,共3页
多重耐药%鲍曼不动杆菌%危险因素
多重耐藥%鮑曼不動桿菌%危險因素
다중내약%포만불동간균%위험인소
multi-drug resistance%Acinetobacter baumannii%risk factor
目的：鲍曼不动杆菌是重要的医院获得性感染的病原菌。多重耐药( MDR)鲍曼不动杆菌感染常与住院时间长,住院花费多,病死率高相关。探讨我院鲍曼不动杆菌临床分布和MDR危险因素。方法收集2010年1月-2012年12月我院分离出的鲍曼不动杆菌住院患者病例,分析其分佈及耐药情况,并分析MDR危险因素。结果共收集鲍曼不动杆菌感染病例500例,MDR组患者440例,非MDR组患者60例,科室分佈以心外科最多,占47．5%,标本分佈以下呼吸道标本最多,占84．8%。 MDR独立危险因素有2个：年龄>70岁(OR 0．871,95%CI 0．447-1．698,P=0．037)和住院时间>50 d(OR 0．695,95%CI 0．325-1．489, P=0．046)。结论 MDR鲍曼不动杆菌感染多发生于心外科,以肺部感染最为多见。年龄>70岁,住院时间>50d患者易发生MDR鲍曼不动杆菌感染,应予以重视。
目的：鮑曼不動桿菌是重要的醫院穫得性感染的病原菌。多重耐藥( MDR)鮑曼不動桿菌感染常與住院時間長,住院花費多,病死率高相關。探討我院鮑曼不動桿菌臨床分佈和MDR危險因素。方法收集2010年1月-2012年12月我院分離齣的鮑曼不動桿菌住院患者病例,分析其分佈及耐藥情況,併分析MDR危險因素。結果共收集鮑曼不動桿菌感染病例500例,MDR組患者440例,非MDR組患者60例,科室分佈以心外科最多,佔47．5%,標本分佈以下呼吸道標本最多,佔84．8%。 MDR獨立危險因素有2箇：年齡>70歲(OR 0．871,95%CI 0．447-1．698,P=0．037)和住院時間>50 d(OR 0．695,95%CI 0．325-1．489, P=0．046)。結論 MDR鮑曼不動桿菌感染多髮生于心外科,以肺部感染最為多見。年齡>70歲,住院時間>50d患者易髮生MDR鮑曼不動桿菌感染,應予以重視。
목적：포만불동간균시중요적의원획득성감염적병원균。다중내약( MDR)포만불동간균감염상여주원시간장,주원화비다,병사솔고상관。탐토아원포만불동간균림상분포화MDR위험인소。방법수집2010년1월-2012년12월아원분리출적포만불동간균주원환자병례,분석기분포급내약정황,병분석MDR위험인소。결과공수집포만불동간균감염병례500례,MDR조환자440례,비MDR조환자60례,과실분포이심외과최다,점47．5%,표본분포이하호흡도표본최다,점84．8%。 MDR독립위험인소유2개：년령>70세(OR 0．871,95%CI 0．447-1．698,P=0．037)화주원시간>50 d(OR 0．695,95%CI 0．325-1．489, P=0．046)。결론 MDR포만불동간균감염다발생우심외과,이폐부감염최위다견。년령>70세,주원시간>50d환자역발생MDR포만불동간균감염,응여이중시。
Objective To study the clinical distribution and the MD-RAB in our hospital and the risk fac-tors. Methods The clinical data of all patients who were diagnosed as nosocomial MD-RAB infections were retro-spectively analyzed in our hospital from 2010 to 2012. Results The study selected a total of 500 patients with Acine-tobacter baumannii infection, including 440 cases of MD-RAB and 60 cases of non-MD-RAB. The department of heart surgery took the most (47. 5%). The most common specimen was lower respiratory tract (84. 8%). The inde-pendent risk factors were age>70 (OR 0. 871, 95% CI 0. 447-1. 698, P=0. 037) and the duration of hospital stay>50d (OR 0. 695, 95% CI 0. 325-1. 489, P=0. 046). Conclusion Infection caused by A. baumannii often oc-curs in the department of heart surgery. Pulmonary infection is the most common situation. The patients who were ol-der than 70 and their duration of hospital stay longer than 50 days should be paid more attention.
