洗必泰擦浴对ICU患者多重耐药菌感染的影响
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吕春梅

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R181.3+2

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2015年佛山市科技攻关项目(2015AB00317)


Effect of chlorhexidine bathing on multidrugresistant organism infection in patients in intensive care unit
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    摘要:

    目的探讨2%洗必泰擦浴对重症监护病房(ICU)多重耐药菌(MDRO)感染发病率的影响。方法选取2016年1—12月某院3个ICU收治的急危重症患者。2016年1—6月收治的患者为对照组,2016年7—12月为试验组;对照组患者每日采用温水擦浴,试验组每日采用2%洗必泰擦浴;监测两组患者MDRO感染例次日发病率。结果对照组共收治患者917例,试验组共收治患者953例。两组患者的性别、年龄、APACHE Ⅱ评分、侵袭性操作及干预措施依从性、不良反应情况比较,差异均无统计学意义(均P>0.05)。试验组患者监测MDRO感染例次日发病率为17.71‰,对照组患者MDRO感染例次日发病率为33.91‰。试验组与对照组中CRAB感染例次日发病率均较高(7.65‰ vs 13.82‰)。结论ICU患者采用2%洗必泰擦浴可减少MDRO感染的发生。

    Abstract:

    ObjectiveTo investigate the effect of 2% chlorhexidine daily bathing on  incidence of multidrugresistant organism (MDRO) infection in intensive care units (ICUs). MethodsFrom January 2016 to December, patients who were admitted to three ICUs in a hospital were selected for study. Patients who were admitted between January and June 2016 were as control group, between July and December 2016 were as trial group; patients in control group took a bath every day with warm water, trial group took a bath every day with 2% chlorhexidine; incidence of MDRO infection in two groups of patients were monitored.Results917 patients in control group and 953 patients in trial group were treated. There was no significant difference in gender, age, APACHE II score, invasive operation, intervention measure compliance, and adverse reaction between two groups of patients(all P>0.05). Incidence of MDRO infection in trial group and control group were 17.71 cases per 1 000 patientdays and 33.91 cases per 1 000 patientdays. Incidence of CRAB infection in trial group and control group were both higher(7.65‰ vs 13.82‰). ConclusionDaily bathing with 2% chlorhexidine can significantly reduce the incidence of MDRO infection in patients in ICUs.

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吕春梅,凌冬兰,王桂英,等.洗必泰擦浴对ICU患者多重耐药菌感染的影响[J]. 中国感染控制杂志,2018,17(6):531-534. DOI:10.3969/j. issn.1671-9638.2018.06.014.
LV Chunmei, LING Donglan, WANG Guiying, et al. Effect of chlorhexidine bathing on multidrugresistant organism infection in patients in intensive care unit[J]. Chin J Infect Control, 2018,17(6):531-534. DOI:10.3969/j. issn.1671-9638.2018.06.014.

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  • 收稿日期:2017-08-03
  • 最后修改日期:2017-10-12
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  • 在线发布日期: 2018-06-28
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