Analysis of the characteristics of multi-drug resistant acinetobacter baumannii infection in elderly patients with severe respiratory
10.3760/cma.j.issn.0254-9026.2017.05.015
- VernacularTitle:呼吸重症老年患者多重耐药鲍曼不动杆菌感染特征分析
- Author:
Mei JING
;
Baimei XIE
;
Xiulian GU
;
Yimin HU
;
Jiali XU
;
Huaqin WANG
;
Songli XU
;
Chunyan SHI
- Keywords:
Gram-negative bacterial infections;
Ventilators,mechanical
- From:
Chinese Journal of Geriatrics
2017;36(5):533-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics of multiple drug resistant Acinetobacter baumannii infection in respiratory elderly patients.Methods A total of 102 elderly patients infected with multidrug-resistant Acinetobacter baumannii were enrolled in our hospital from January 2014 to December 2015.At the same time,no multiple drug-resistant Acinetobacter baumannii infection elderly patients was selected as a control group.The gender,age,antimicrobial use,white blood cell count,mechanical ventilation time and other differences between the two groups of elderly patients were compared.Results There were significant differences in the days of hospitalization [(18.7±7.5) d vs.(10.0±2.7)d],the time of application of invasive ventilator[(24.6±10.3) d vs.(11.6±6.9)d] and the time of application of antimicrobial agents[(26.2±13.1) d vs.(8.0±2.6)d] (t=19.463、15.436、26.905,all P＜ 0.05).There was no significant difference in immunosuppressant use,white blood cell count,serum protein level and APACHEⅡ score (all P＞0.05).Conclusions Reasonable scientific application of antimicrobial agents,reducing invasive mechanical ventilation time and improving patient immunity can help to reduce the risk of respiratory infection in elderly patients with multiple drug resistance to Acinetobacter baumannii.
