广西医学2018，Vol.40Issue(8)：924-927,4.DOI:10.11675/j.issn.0253-4304.2018.08.17
ICU患者鲍曼不动杆菌院内感染的危险因素和住院费用分析
Risk factors and hospitalization costs for nosocomial infection of Acinetobacter baumanni in ICU patients
摘要
Abstract
Objective To investigate the risk factors and hospitalization costs for nosocomial infection of Acinetobacter baumannii (Ab) in ICU patients.Methods Sixty-one ICU patients with nosocomial infection of Ab were enrolled as study group,and another 61 concurrent ICU patients without nosocomial infection of Ab as control group.The general data,invasive procedures,drug use and medical costs were collected,and the risk factors and hospitalization costs for nosocomial infections of Ab were analyzed in ICU patients.Results The results of multivariate analysis showed that the duration for antibiotics use≥14 days,mechanical ventilation,immunosuppressive agents use,number of antibiotics used ≥3 were independent risk factors for Ab infection in ICU patients(all P<0.05).The total hospitalization costs,total costs of drugs used,total costs of antibiotics used,and daily drugs costs in the study group were higher than those in the control group(all P<0.05),and these indices increased by 49 313.00 yuan,25 030.50 yuan,8 715.63 yuan and 900.5 yuan,respectively,in the study group compared to those in the control group.There was no significant difference in the daily hospitalization costs between the two groups(P>0.05).Conclusion The incidence rate of Ab infection and hospitalization costs might be reduced in ICU patients through the rational use of antibiotics and immunosuppressive agents as well as shortening the duration of invasive mechanical ventilation.关键词
鲍曼不动杆菌/重症监护病房/危险因素/经济费用Key words
Acinetobacter baumannii/Intensive care unit/Risk factor/Economic costs分类
医药卫生引用本文复制引用
李兴国,温汉春..ICU患者鲍曼不动杆菌院内感染的危险因素和住院费用分析[J].广西医学,2018,40(8):924-927,4.基金项目
广西急诊与医学救援人才小高地基金资助项目(GXJZ201402) （GXJZ201402）
