Resistance characteristics of Acinetobacter baumannii and nursing interventions of related Infections in ICU
10.3760/cma.j.issn.1674-2907.2011.28.017
- VernacularTitle:ICU病房鲍曼不动杆菌的耐药特点及相关感染的护理干预
- Author:
He-Hong FAN
1
;
Dong-Mei TIAN
;
Yong-Xi SUN
;
Pei-Yue LIU
Author Information
1. 山东省枣庄矿业集团公司中心医院
- Keywords:
ICU;
Lower respiratory tract infections;
Acinetobacter baumannii;
Drug resistance;
Nursing
- From:
Chinese Journal of Modern Nursing
2011;17(28):3394-3397
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the drug resistance of Acinetobacter baumannii (AB) in patients with lower respiratory tract infection in ICU ward,and to explore the effect of related nursing interventions.Methods 26 strains resistant characteristics AB were separated from the sputum samples collected from 26patients with the lower respiratory tract infection in ICU and imipenem-resistsnt Acinetobecter baumannii (IRAB) and imipenem-sensitive Acinetobacter baumannii (ISAB) differences in drug resistance were compared,and the difference of drug resistance between AB collected from ICU wards and non-ICU wards were compared too,the appropriate nursing interventions was summed up.Results 26 strains AB were susceptible to 15 kinds of antibiotics,and most of them were susceptible to fosfomycin ( about 88.5％ ),but resistant to other antibiotics like cephalosporins; 15 strains IRAB (57.7％) and llstrains ISAB (42.3％) among the 26 strains.IRAB was absolutely resistant to the following drugs:Ceftriaxone,vetracycline,Piperacillin,Aztreonam,SMz and Levolloxacin compared to ISAB,it was also resistant to other antibiotics ( P ＜ 0.0l or P ＜ 0.05 ).Drug resistance of AB in ICU was stronger than in non-ICU (P ＜ 0.05 ).Conclusions Resistant of AB in ICU was strong,and the treatment was more difficult.Besides using sensitive antibiotic therapy,we must strengthen the nursing care,apply the corresponding measures to strengthen the hospital infection management,prevent cross infection and protect the vulnerable patients.
