中国感染控制杂志Issue(9)：534-537,4.DOI:10.3969/j.issn.1671-9638.2014.09.005
多重耐药鲍曼不动杆菌医院感染危险因素
Risk factors for multidrug-resistant Acinetobacter baumannii infection
摘要
Abstract
Objective To evaluate risk factors for multidrug-resistant Acinetobacter baumannii (MDRAB)infec-tion,so as to provide reference for making preventive and control measures of MDRAB infection.Methods Clinical data of patients with Acinetobacter baumannii (A.baumannii )infection in a hospital between April 2011 and Sep-tember 2012 were surveyed,distribution and specimen sources of A.baumannii and MDRAB were analyzed,and risk factors of MDRAB were assessed.Results Of 236 isolates of A.baumannii,74 (31.36%)were MDRAB .The isolation rate of MDRAB in intensive care unit and neurosurgery department was up to 60.00%(27/45)and 58.06%(18/31)respectively;MDRAB were mainly isolated from wound (45.45%),respiratory tract (34.27%),and urinary tract (17.65%).Univariate analysis revealed that difference in length of hospital stay,use of serum albumin,fiberbronchoscopy, coma days,tracheotomy,use of ventilator,incisional drainage,urinary catheterization,use of carbapenems,and antimicro-bial days in different groups were statistically different (P <0.05).Multivariate logistic regression analysis revealed that tracheotomy(OR95%CI :1.152-7.187),use of ventilator(OR95%CI :1.263 -7.664)were independent risk factors for MDRAB infection.Conclusion Tracheotomy and use of ventilator play an important role in the producing and sprea-ding of MDRAB ,management on drug-resistant bacteria is important in reducing MDRAB infection.关键词
鲍曼不动杆菌/多重耐药性/抗药性,微生物/危险因素/医院感染Key words
Acinetobacter baumannii/multidrug resistance/drug resistance,microbial/risk factor/healthcare-as-sociated infection分类
医药卫生引用本文复制引用
池细鱹,高世华,陈家龙,李国玉,林蓉金..多重耐药鲍曼不动杆菌医院感染危险因素[J].中国感染控制杂志,2014,(9):534-537,4.基金项目
福建省南平市科技计划项目资助［N2011Z15（1）］ （）
