目的 探讨医院感染耐甲氧西林金黄色葡萄球菌的危险因素及控制措施.方法 选取2015年7月至2017年7月在大同市第五人民医院住院治疗的患者220例作为研究对象,其中发生耐甲氧西林金黄色葡萄球菌感染者80例,分析患者一般资料和临床治疗情况,使用SPSS 19.0统计学软件对所有患者临床资料进行单因素和多因素分析统计.结果 根据多因素Logistic回归分析结果显示,是否使用免疫制剂、是否接受手术治疗、是否行深静脉插管、是否行机械通气治疗、抗生素使用时间、抗生素使用种类多少、住院时间长短及是否反复行吸痰操作是医院感染耐甲氧西林金黄色葡萄球菌的主要危险因素.结论 医院感染耐甲氧西林金黄色葡萄球菌的危险因素多且复杂,给予住院治疗患者针对性预防和控制措施能有效降低感染率,具有推广价值.%Objective To investigate the risk factors and control measures of methicillin-resistant Staphylococcus aureus in hospital .Methods A total of 220 patients hospitalized in the Fifth People's Hospital of Datong from July 2015 to July 2017 were selected as research objects .Of them, 80 patients were infected with methicillin-resistant Staphylococcus aureus , and the general information and clinical treatment of each patient were analyzed .Univariate and multivariate analysis on the clinical data of all patients were completed by SPSS 19.0 statistical software .Results The results of multivariate Logistic regression analysis showed that whether using immunotherapy , underwent surgical treatment or not, whether perform deep vein catheterization and mechanical ventilation , antibiotic use time, antibiotic use type, length of hospital stay and whether repeated sputum aspiration operation were major risk factors of methicillin-resistant Staphylococcus aureus in hospitals .Conclusions The risk factors of methicillin-resistant Staphylococcus aureus in hospital are numerous and complex .The targeted prevention and control measures for hospitalized patients can effectively reduce the infection rate , which has promotion value .
展开▼
