Analysis in nosocomial infection in elderly patients with intra-aortic balloon pump after coronary artery bypass grafting and nursing

VernacularTitle:老年冠心病患者术后主动脉内球囊反搏辅助治疗的医院感染分析及护理
Author: Yanrong WANG ; Wenhua HUANG ; Ming ZHANG
Publication Type:Journal Article
Keywords: Nosocomial infection; Coronary artery bypass grafting; Intra-aortic balloon pump; The elderly; Nursing
From: Chinese Journal of Practical Nursing 2010;26(25):22-24
CountryChina
Language:Chinese
Abstract: Objective To summarize the nursing experience on nosocomial infection in elderly patients with intra-aortic balloon pump (IABP) after coronary artery bypass grafting. Methods The clinical data of elderly patients who underwent coronary artery bypass grafting with application of IABP from April 2006 to February 2009 were retrospectively collected and analyzed. Results 29 patients suffered nosocomial infection in all 111 cases. The hospital mortality was much higher among patients with nosocomial infection than in patients without nosocomial infection (19 cases vs 11 cases). 87 positive strains were separated from 29 patients with nosocomial infection, which included 47 strains of gram-negative bacterial, 23 strains of gram-positive bacterial and 17 strains of fungi. Conclusions The nosocomial infection was one of the risk factors for hospital mortality in elderly patients with intra-aortic balloon pump after coronary artery bypass grafting. It is important to take effective nursing strategies to prevent the postoperative nosocomial infection in this population.