妇产科多重耐药菌感染的高危因素分析及临床对策

目的探讨在妇产科引起多重耐药菌感染的高危因素及临床对策。方法对2006年7月~2011年9月我院妇产科收治的26例多重耐药菌感染患者临床资料进行回顾性分析,将患者的年龄、住院天数、联合使用抗生素数量,抗生素使用时间、术后白细胞数、白蛋白、血色素等资料作量化进行多因素回归分析。结果多种抗生素的联合使用和长时间使用抗菌药物是多重耐药菌感染的高危因素（P〈0.05）。结论临床应注意抗生素的合理使用,严格无菌技术操作,是预防多重耐药菌感染的重要措施。

Obstetrics and gynecology multi-resistant infections in patients with high risk factors and clinical measures

Objective To investigate the high risk factors of multiple drug-resistant infections of patients in gynecological and clinical measures.Methods From Jul 2006 to Sep 2011 in our hospital 26 cases of obstetrics and gynecology multiresistant infection were retrospectively analyzed the patient’s age,length of stay,number of joint use of antibiotics,antibiotic use of time,after surgery white blood cell count,albumin,postoperative hemoglobin and other information for quantitative multivariate regression analysis.Results The joint use of a variety of antibiotics and prolonged antimicrobial drugs were risk factors for multiple drug-resistant infection（P〈0.05）.Conclusion The rational clinical use of antibiotics,strict aseptic technique,are the important measures to prevent multiple drug-resistant infections.