综合ICU 鲍曼不动杆菌院内感染的原因分析和护理对策的效果评价.docVIP

精品论文 参考文献 综合ICU 鲍曼不动杆菌院内感染的原因分析和护理对策的效果评价 （厦门市海沧医院ICU 科， 福建 厦门 361026） 【摘要】目的：探讨综合ICU 鲍曼不动杆菌院内感染的原因和护理策略。方法：回顾性的分析我院2012 年12 月至2014 年12 月的322例次重症监护室患者进行分析，作为对照组，对感染鲍曼不动杆菌的原因进行分析，并提出合理的护理对策。2015 年1 月至2015 年7 月的94 例次重症监护室患者进行改革对策，作为实验组。对比分析两组患者的感染率的情况。结果：322 例次患者发生鲍曼不动杆菌院内感染55 例，占17.08%，其中主要是下呼吸道、泌尿系统、胃肠道、皮肤软组织等部位感染，其中下呼吸道感染为主，占65.45%（36/55）；其原因是年龄（老年患者侵入性操作、住院天数、气道吸痰次数等）。实施对策后的感染率明显低于实施前，具有统计学意义（P ＜ 0.05）。 结论：加强护理制度改革，特别关注老年患者的护理，减少重症监护室鲍曼不动杆菌感染发生。 【关键词】ICU；鲍曼不动杆菌；护理对策。 【中图分类号】 R573 【文献标号】 A 【文章编号】 2096-0867（2015）03-0016-02 Comprehensive ICU acinetobacter baumannii analysis of the causes of nosocomial infection and nursing measures of performanceevaluationLI Jianyin Huang Weimin Wu Xiaofen(xiamen haicang hospital ICU Fujian xiamen 361026) 【 abstract 】 objective: to study the comprehensive ICU acinetobacter baumannii nosocomial infection causes and nursingstrategies. Methods: a retrospective analysis of our hospital between December 2012 and December 2014, 322 cases were analyzed,and the intensive care unit patients as control group, to analyze the cause of the infection of acinetobacter baumannii, and putforward reasonable nursing countermeasures. Between January 2015 and July 2015 of the 94 times of the intensive care unit patientsreform countermeasures, as experimental group. Contrast analysis of two groups of patients with infection rates. Results: 322 casespatients with acinetobacter baumannii nosocomial infection occurred in 55 cases, accounted for 17.08%, mainly the lower respiratorytract, urinary tract, gastrointestinal tract, skin and soft tissue infection, in areas such as the one lower respiratory tract infection,65.45% (36/55); The reason for this is the age (elderly patients with invasive operation, hospitalization days, sputum suction airwaynumber, etc.). Implementing countermeasures after infection rates significantly lower than before the implementation, with statisticalsignificance (P lt; 0.05). Conclusion: to