Pathogen spectrum of intraabdominal infection in patients in intensive care unit
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R459.7

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    Abstract:

    ObjectiveTo analyze pathogen spectrum of intraabdominal infection in patients in an intensive care unit(ICU).MethodsIntraabdominal infections and pathogens of 1 330 patients who admitted to ICU from January 2012 to March 2013 were analyzed retrospectively.Results283 patients developed intraabdominal infection, incidence of infection was 21.28%;  133 (47.00%)patients were detected 186 isolates of pathogens, the proportion of gramnegative bacilli, grampositive cocci, and fungi were 68.82%(n=128),28.49%(n= 53), and 2.69%(n=5) respectively. The major gramnegative bacilli were Escherichia coli, Acinetobacter baumannii, and Klebsiella pneumoniae, the major grampositive cocci were Enterococcus faecium,Staphylococcus aureus, and Enterococcus faecalis. The detection rates of pathogens after patients stayed in ICU for ≤2, 3-7, 8-14,and>14 days were 70.43%(n=131), 12.90%(n=24), 10.22%(n=19), and 6.45%(n=12)respectively; Escherichia coli(n=51) and Enterococcus faecium (n=21)were the main pathogens when patients stayed in  ICU for ≤48 hours, Acinetobacter baumannii was the main pathogen when patients stayed in ICU for >48 hours. Most  intraabdominal infection occurred after intestinal tract(53.23%) and hepatobiliary system operation(24.19%). 39 (29.32%) patients isolated at least two kinds of pathogens, 29 of whom isolated 2 kinds of pathogens.ConclusionMost pathogens of intraabdominal infection in ICU patients are detected following  intestinal tract and hepatobiliary  operation, and mixed pathogens are common, predominantly gramnegative bacilli. Escherichia coli and Enterococcus faecium are the main pathogens when patients stayed in ICU for ≤48 hours, opportunistic pathogens are the main pathogens when patients stay in ICU for >48 hours.

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汪海源,吴兴茂,臧彬.重症监护病房患者腹腔感染病原菌谱分析[J].中国感染控制杂志英文版,2015,14(10):681-684. DOI:10.3969/j. issn.1671-9638.2015.10.008.
WANG Haiyuan, WU Xingmao, ZANG Bin. Pathogen spectrum of intraabdominal infection in patients in intensive care unit[J]. Chin J Infect Control, 2015,14(10):681-684. DOI:10.3969/j. issn.1671-9638.2015.10.008.

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History
  • Received:January 25,2015
  • Revised:March 02,2015
  • Adopted:
  • Online: October 30,2015
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