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呼吸内科多重耐药菌感染的危险因素分析

江冬萍 左素清 梁玉萍 李虹

川北医学院学报2016,Vol.31Issue(5):730-733,4.
川北医学院学报2016,Vol.31Issue(5):730-733,4.DOI:10.3969/j.issn.1005-3697.2016.05.031

呼吸内科多重耐药菌感染的危险因素分析

Risk factors for multidrug resistant organism infection in department of respiratory medicine

江冬萍 1左素清 1梁玉萍 1李虹1

作者信息

  • 1. 遂宁市中心医院感染管理科,四川 遂宁 629000
  • 折叠

摘要

Abstract

Objective:To investigate the distribution characteristics of multidrug resistant organisms (MDROs)in the depart-ment of respiratory medicine and the risk factors of infection and to provide scientific evidence for the prevention and control of MDROs infections.Methods:A retrospective analysis was applied on the data from positive bacterial culture of the inpatients who lived in the department of respiratory medicine,during November 2014 to November 2015.According to the age and sex matched cases and control group,the distribution characteristics and drug resistance of multi drug resistant bacteria were analyzed.Logistic regression analysis was used to analyze the possible risk factors.Results:The result showed that the top three among the MDROs were Escherichia coli 27 (34.18%),Acinetobacter baumannii 16(20.25%)and Pseudomonas aeruginosa 8(10.13%).The resistance rate of Escherichia coli to furadantin was lowest.All the Acinetobacter baumannii were Pan resistance.Penicillin and cephalosporin antibiotic resistance in pseudomonas aeruginosa was higher.Multivariate analysis showed that diabetes (OR =6.74,95%CI:1 .57 -20.82),antibiotics combi-nation (OR =2.98,95%CI:1 .14 -7.79),mechanical ventilation (OR =3.60,95% CI:1 .29 -9.99 )and days (OR =4.34,95%CI:1 .01 -9.98)was associated with multi drug resistant organisms.Conclusion:Diabetes,Antibiotic combination,Mechanical ventila-tion and hospital stay may be risk factors for infections of MDROs.

关键词

多重耐药菌/危险因素/呼吸内科

Key words

Multi-drug resistant organisms/Risk factors/Department of Respiratory Medicine

分类

医药卫生

引用本文复制引用

江冬萍,左素清,梁玉萍,李虹..呼吸内科多重耐药菌感染的危险因素分析[J].川北医学院学报,2016,31(5):730-733,4.

川北医学院学报

OACSTPCD

1005-3697

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