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冠心病介入治疗后医院感染患者病原菌分布及耐药性

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目的:分析冠心病介入治疗后医院感染患者病原菌分布及耐药性.方法:选取2020年5月至2023年5月该院收治的600例冠心病介入治疗患者进行前瞻性研究.统计冠心病介入治疗患者医院感染发生率,采集患者感染部位分泌物,并分析病原菌分布和耐药性.结果:600 例冠心病介入治疗患者中,发生医院感染 51 例,医院感染发生率 8.5%(51/600),感染部位包括呼吸道(41.18%)、泌尿系统(25.49%)、穿刺部位(13.73%)、胃肠道(11.76%)、皮肤组织(3.92%)等;51 例发生医院感染患者感染部位分泌物中检出 79 株病原菌,包括革兰阳性杆菌 41 株(51.90%),其中金黄色葡萄球菌检出率最高(34.18%);革兰阴性杆菌 38 株(48.10%),其中大肠埃希菌检出率最高(29.11%);金黄色葡萄球菌对青霉素的耐药性为 90%以上,对红霉素的耐药性为 70%以上;大肠埃希菌对克林霉素的耐药性为 100.00%,对红霉素的耐药性为 80%以上,对青霉素的耐药性为 70%以上.结论:金黄色葡萄球菌、大肠埃希菌为冠心病介入治疗后医院感染患者常见病原菌,其耐药性均较高.
Distribution and drug resistance of pathogenic bacteria in patients with nosocomial infection after interventional therapy of coronary heart disease
Objective:To analyze distribution and drug resistance of pathogenic bacteria in patients with nosocomial infection after interventional therapy of coronary heart disease.Methods:A prospective study was conducted on 600 patients with coronary heart disease undergoing interventional therapy admitted to this hospital from May 2020 to May 2023.The incidence of nosocomial infection in these patients with coronary heart disease undergoing interventional therapy was statistically analyzed.The secretions of the infected site were collected,and the distribution and drug resistance of pathogenic bacteria were analyzed.Results:In the 600 patients with interventional therapy of coronary heart disease,51 cases of nosocomial infection occurred,and the incidence of nosocomial infection was 8.5%(51/600).The infection sites included respiratory tract(41.18%),urinary system(25.49%),puncture site(13.73%),gastrointestinal tract(11.76%),skin tissue(3.92%)and so on.79 strains of pathogenic bacteria were detected in the secretions of the 51 patients with nosocomial infection,including 41 strains of Gram-positive bacilli(51.90%),among which the detection rate of Staphylococcus aureus was the highest(34.18%);and there were 38 strains(48.10%)of Gram-negative bacilli,and the detection rate of Escherichia coli was the highest(29.11%).The resistance of Staphylococcus aureus to Penicillin was more than 90%,and the resistance to Erythromycin was more than 70%.The resistance of Escherichia coli to Clindamycin was 100.00%,the resistance to Erythromycin was more than 80%,and the resistance to Penicillin was more than 70%.Conclusions:Staphylococcus aureus and Escherichia coli are common pathogens in the patients with nosocomial infection after interventional therapy for coronary heart disease,and their drug resistance is high.

Coronary heart diseaseInterventional therapyNosocomial infectionPathogenic bacteriaDrug resistance

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黄河三门峡医院检验科,河南 三门峡 472000

冠心病 介入治疗 医院感染 病原菌 耐药性

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)