老年病房内铜绿假单胞菌感染预防及护理

目的 :探讨老年病房内铜绿假单胞菌感染的相关因素和预防及护理。方法 :分析近 3年内老年病房铜绿假单胞菌 (Pseudomonasaerugi nosa,PA)感染患者的临床资料 ,常规痰培养分离鉴定PA ,采用K -B纸片法按NCCLS制定的标准进行药物试验 ,总结出PA感染的相关因素。结果 :免疫功能低下 ,气管切开及机械通气 ,长期卧床 ,呼吸道分泌物引流不畅 ,经鼻留置胃管 ,长期应用抗生素是住院老年患者PA感染的主要因素。结论 :对PA感染的预防及护理对策是减少PA侵袭机会 ,提高宿主防御机能 ,合理而有效的使用抗生素

Preventive and nursing measures to infection due to pseudomonas aeruginosa in wards for elderly patients

Objective: The purpose of the study was to explore relative factors of pseudomonas aeruginosa(PA) and preventive nursing measures in wards for elderly patients. Method: Relative data about PA infection of in-patients in recent three years was analyzed. Routine culture of sputum was used to isolate and identify the bacteria and drug sensitivity test was conducted by K-B paper method according to the standard made by NCCLS. Relative factors of PA infection were also concluded. Results: Decreased immunological function, tracheotomy and mechanical breathing, staying in bed for long-term and difficult drainage of the secretion of respiratory tract, stomach tube detained through nose, and the pathway antibiotic use for a long time were primary factors related to the infections of PA in wards for elderly patients. Conclusion: The key points of prevention and nursing to the infection of PA were to reduce the chances of PA infection, and to enforce the preventive ability in patients and use antibiotics rationally.