实用医技杂志2024,Vol.31Issue(8) :586-589.DOI:10.19522/j.cnki.1671-5098.2024.08.015

重症医学科患者铜绿假单胞菌感染的危险因素及耐药性研究

Risk factors and drug resistance of pseudomonas aeruginosa infection in critically ill patients

孙兵兵 王艳 刘歆
实用医技杂志2024,Vol.31Issue(8) :586-589.DOI:10.19522/j.cnki.1671-5098.2024.08.015

重症医学科患者铜绿假单胞菌感染的危险因素及耐药性研究

Risk factors and drug resistance of pseudomonas aeruginosa infection in critically ill patients

孙兵兵 1王艳 1刘歆1
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作者信息

  • 1. 洛阳市东方人民医院医学检验科,洛阳 471000
  • 折叠

摘要

目的 分析重症医学科(ICU)患者铜绿假单胞菌(PA)感染的危险因素及耐药性.方法 选定洛阳市东方人民医院2021年8月至2023年8月ICU住院的268例患者,根据是否感染PA将其分组,86例感染PA患者设为PA组,182例未感染PA患者设为非PA组,logistic回归分析PA感染的危险因素,PA感染患者分泌物、血液、痰液、尿液送检标本,进行耐药性分析.结果 Logistic回归分析发现气管切开[OR值(95%CI)=2.942(1.752,10.288),P=0.004]、抗菌药物使用时间[OR值(95%CI)=4.167(1.841,13.674),P=0.015]、APACHE Ⅱ评分≥ 16 分[OR值(95%CI)=3.504(1.285,9.064),P=0.010]是 PA 感染的危险因素.PA 对左氧氟沙星的耐药性最强,耐药率为95.4%,其次是环丙沙星,耐药率为90.7%.结论 气管切开、抗菌药物使用时间、APACHE Ⅱ评分≥16分是ICU患者PA感染的危险因素,PA对左氧氟沙星、环丙沙星的耐药性最强,应当引起临床重视.

Abstract

Objective To analyze the risk factors and drug resistance of Pseudomonas aeruginosa(PA)in-fection in intensive care unit(ICU)patients.Methods Two hundred and sixty eight patients admitted to the ICU of Dongfang People's Hospital in Luoyang from August 2021 to August 2023 were selected.They were divided into two groups based on whether they were infected with PA;86 patients with PA were assigned to the PA group,and 182 patients without PA were assigned to the non-PA group.Logistic regression analysis was conducted to identify the risk factors for PA infection,and samples of secretions,blood,sputum,and urine from PA infected patients were analyzed for drug resistance.Results Logistic regression analysis:Tracheostomy[OR(95%CI)=2.942(1.752,10.288),P=0.004],duration of antibiotic use[OR(95%CI)=4.167(1.841,13.674),P=0.015]and APACHE Ⅱscore ≥16[OR(95%CI)=3.504(1.285,9.064),P=0.010]were risk factors for PA infection.PA has the strongest resistance to levofloxacin with a resistance rate of 95.4%,followed by ciprofloxacin with a resistance rate of 90.7%.Conclusion Tracheostomy,duration of antibiotic use,and APACHE Ⅱ score ≥ 16 are risk factors for PA infection in ICU patients.PA has the strongest resistance to levofloxacin and ciprofloxacin,and should be given clinical attention.

关键词

铜绿假单胞菌/感染/危险因素/耐药性/抗药性,细菌

Key words

Pseudomonas,aeruginosa/Infcetions/Risk factors/Drug resistance,becterial

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出版年

2024
实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
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