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印度北部外科重症监护病房常见医院感染病原体的患病率:一项基于医院的研究。

Prevalence of common nosocomial organisms in surgical Intensive Care Unit in North India: A hospital-based study.

作者信息

Taj Arshi, Shamim Anjum, Khanday Shoiab Bashir, Ommid Mohamad

机构信息

Department of Anaesthesia and Critical Care GMC Srinagar, Government Medical College, Srinagar, Jammu and Kashmir, India.

Department of Anaesthesia, Government Medical College, Srinagar, Jammu and Kashmir, India.

出版信息

Int J Crit Illn Inj Sci. 2018 Apr-Jun;8(2):78-82. doi: 10.4103/IJCIIS.IJCIIS_8_18.

Abstract

BACKGROUND

Nosocomial infection presents with high mortality rate, and it remains a diagnostic and treatment challenge for health-care providers, with developing countries having the highest incidence and mortality rates.[1].

AIM

The present study was undertaken to evaluate prevalence of commonly isolated nosocomial organisms in patients admitted in Surgical Intensive Care Unit (ICU) in Government Medical College Srinagar.

MATERIALS AND METHODS

The study was proposed to be conducted in surgical ICU of Shri Maharaja Hari Singh - a Tertiary Care Hospital in Jammu and Kashmir (India) from March 2015 to March 2016. The patients developing ICU infections within 48 h of admission in ICU or within 48 h of transfer from ICU were included in the study.

RESULTS

Forty patients showing different types of infections were included, 92 samples were collected which included 39.13%, 27.17%, 8.70%, 7.61%, 10.87%, and 6.52% blood, urine, swab, sputum, pus, and endotracheal tube (ETT) samples, respectively. From these samples, 27.78%, 76.0%, 87.5%, 71.43%, 80.0%, and 33.33% samples of blood, urine, swab, sputum, pus, and ETT, respectively, were found positive, i.e. showed the growth of microorganisms. A total of 10 types of microorganisms were isolated ( spp., spp., spp., , , spp., spp., spp., and spp.) from six types of samples among which maximum number of microorganisms were isolated from swab which was followed by blood and urine, while minimum number of microorganisms were isolated from ETT. Further, among ten microorganisms isolated, the highest percentage was recorded for spp., which was followed by spp. and , while the lowest percentage was recorded for spp.

CONCLUSION

There was a predominance of Gram-negative bacilli than Gram-positive bacilli.

摘要

背景

医院感染死亡率高,对医护人员而言仍是诊断和治疗方面的挑战,其中发展中国家的发病率和死亡率最高。[1]

目的

本研究旨在评估斯利那加政府医学院外科重症监护病房(ICU)收治患者中常见医院感染病原体的流行情况。

材料与方法

本研究拟于2015年3月至2016年3月在印度查谟和克什米尔的三级护理医院——斯里·玛哈拉贾·哈里·辛格医院的外科ICU进行。入住ICU 48小时内或从ICU转出48小时内发生ICU感染的患者纳入本研究。

结果

纳入40例表现出不同类型感染的患者,共采集92份样本,其中血液、尿液、拭子、痰液、脓液和气管内导管(ETT)样本分别占39.13%、27.17%、8.70%、7.61%、10.87%和6.52%。从这些样本中,血液、尿液、拭子、痰液、脓液和ETT样本的阳性率分别为27.78%、76.0%、87.5%、71.43%、80.0%和33.33%,即显示有微生物生长。共从六种类型的样本中分离出10种微生物( 属、 属、 属、 、 、 属、 属、 属和 属),其中从拭子中分离出的微生物数量最多,其次是血液和尿液,而从ETT中分离出的微生物数量最少。此外,在分离出的10种微生物中, 属的百分比最高,其次是 属和 ,而 属的百分比最低。

结论

革兰氏阴性杆菌比革兰氏阳性杆菌占优势。

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