重庆医学2017，Vol.46Issue(26)：3646-3648,3.DOI:10.3969/j.issn.1671-8348.2017.26.016
ICU脑卒中相关性肺炎患者感染多重耐药菌危险因素分析及病原学研究
Analysis on risk factors and etiology of MDRO infection in patients with stroke associated pneumonia in ICU
摘要
Abstract
Objective To investigate the risk factors of multi-drug resistant organism(MDRO) infection in the patients with stroke associated pneumonia in ICU (ICU-SAP) and to analyze the composition of pathogenic bacteria.Methods The medical record data of 158 inpatients with ICU-SAP in our hospital from January 2013 to June 2016 were collected and screened the influence factors for MDRO infection occurrence in ICU-SAP.Results One hundred fity-eight cases of ICU-SAP,106 cases developed MDRO infection,and the infection rate was 67.1％.A total of 146 strains of MDRO were isolated,of which 31 strains (21.2％) were Gram-positive bacteria and 115 strains(78.8 ％) were Gram-negative bacteria.The Logistic regression analysis showed that the risk factors for MDRO infection in ICU-SAP patients included late-onset SAP,ICU stay time(≥72 h),disturbance of consciousness,swallowing disorders and APACHE Ⅱ (＞25 points).Conclusion The proportion of ICU-SAP patients infected with MDRO is high,and Gram-negative bacilli are the primary pathogen.These factors such as late-onset SAP,long ICU stay time,disturbance of consciousness,swallowing disorders and increased disease severity increase the MDRO infection risk,which should be paid attention to in order to reduce the morbidity of MDRO infection.关键词
重症监护病房/卒中相关性肺炎/多重耐药/危险因素Key words
intensive care units/stroke associated pneumonia/MDRO/risk factors分类
医药卫生引用本文复制引用
刘晓姝..ICU脑卒中相关性肺炎患者感染多重耐药菌危险因素分析及病原学研究[J].重庆医学,2017,46(26):3646-3648,3.基金项目
四川省卫生和计划生育委员会科研课题(普及应用项目)(16PJ417). （普及应用项目）
