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时间:2020-04-21
《重症脑卒中患者多药耐药菌感染的调查分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、95临床论著·重症脑卒中患者多药耐药菌感染的调查分析董衍军成凤韬【摘要】目的调查重症脑卒中患者多药耐药菌的感染情况,为预防和控制多药耐药菌的感染提供科学依据。方法对2010年1月至2013年10月本科室收治的92例并发多药耐药菌感染的重症脑卒中患者临床资料和病原菌感染情况,采用回顾性方法进行分析。结果本科室重症脑卒中患者并发多药耐药菌感染率为3.59%(92/2564),共分离培养多药耐药菌株92株,依次为产超广谱B.内酰胺酶肺炎克雷伯菌、大肠埃希菌、耐甲氧西林金黄色葡萄球菌、铜绿假单胞菌和鲍曼不动杆菌,分别占48.91%(45/92)、33.69%(31/
2、92)、6.52%(6/92)、5.43%(5/92)和3.26%(3/92)。感染标本主要来自痰液和尿液,分别占44.57%(41/92)和31.52%(29/92)。结论对重症脑卒中并发多药耐药菌感染的患者,应针对引发耐药菌株产生的薄弱环节,加强监测,并采取切实、有效措施,预防和控制多药耐药菌感染的发生。【关键词】脑卒中,重症:多药耐药菌;医院感染InvestigationandanalysisOilmultipledrugresistantinfectionsinseverepatientswithstrokediseasesDONGYanjun,CH
3、ENGFengtao.NeurologyDepartment,ThePeopleHospitalofGuangraoCounty,Dongying257300,ChinaCorrespondingauthor."CHENGFengtao,Email:bzfengtao@sina.COrn[Abstract]ObjectiveToinvestigatethestatusofmultidrug—resistantbacteriainfectionsinpatientswithseverestrokediseases,andprovidescientificbas
4、isforthepreventionandcontrolofthemultidrug-resistantbacteriainfections.MethodsAtotalof92caseswithmultidrug-resistantbacteriainfectionsandseverestrokefromJanuary2010toOctober2013wereenrolled,thentheclinicaldataandthesituationofpathogenicbacteriainfectionswereanalyzed,retrospectiVely
5、.ResultsInourdepartment,therateofmultidrug—resistantbacteriainfectionswithseverestrokediseaseswas3.59%r92/2564).Atotalof92strainsofpathogenswereisolated,amongwhichthemostwasproducingextendedspectrumbetalactamasesKlebsiellapneumoniae,followedbyEscherichiacoli,methicillin—resistantSt
6、aphylococcusaureus,PseudomonasaeruginosaandAeinetobacterbaumannii,accountingfor48.91%(45/92),33.69%(31/92),6.52%(6/92),5.43%(5/92)and3.26%(3/92),respectively.Infectedsamplesweremainlyfromsputumandurine,accountingfor44.57%(41/92)and31.52%(29/92).ConclusionsForthepatientswithseverest
7、rokecomplicatingmultidrug—resistantbacteriainfections,itisshouldleadtoresistantstrainsagainsttheweaklinks,strengthenthemonitoring,andtakingpractical,efectivemeasures,SOastopreventandcontrolthemultidrug—resistantbacteriainfections.【Keywords]Severestrokedisease;Multidrug—resistantbac
8、teria;Nosocomialinfection重
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