Amani Ahmed, Malaz Masaad Elsheikh Elkaki, Alsadig Kamal Elemam Albadri, A. Ali
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引用次数: 1
摘要
目的:为了确定重症监护病房(ICU)院内感染的患病率,我们进行了一项以医院为基础的研究。材料与方法:连续入组患者,获得详细的危险因素和细菌学资料。采用spss version 24进行统计分析。结果:研究期间共收治76例患者(最小10年,最大91年,男性69.7%,女性30.3%)。最主要的合并症是肾小管酸中毒(23.7%)、脑血管意外(15.8%)和急性肾损伤(9.2%)。使用抗生素的占40.8%。细菌培养阳性的占42.1% (n=32)。革兰氏阴性菌为常见的肺炎克雷伯菌(27.6%)、产气假单胞菌(7.95%)、化脓性链球菌(2.6%)、大肠杆菌(1.3%)、金黄色葡萄球菌(1.3%)和念珠菌(1.3%)。对普通抗生素的耐药性普遍存在。结论:苏丹喀土穆某ICU患者感染发生率高。革兰氏阴性菌最为普遍,对抗生素的耐药性很高。危险因素是年龄和多种合并症
Prevalence of Hospital Acquired Pneumonia in Intensive Care Units in Khartoum State (From April 2019 to September 2019)
Objectives: To determine the prevalence of nosocomial infections in intensive care unit (ICU), we performed a hospital-based study. Materials and Methods: Consecutive patients were enrolled and details of risk factors and bacteriological data were obtained. Statistical analyses were performed using spss version 24. Results: seventy six patients were admitted during the study period (minimum 10 years and maximum 91 years, men 69.7%, females 30.3%). Most important comorbidities were renal tubular acidosis (23.7%), cerebro vascular accidents (15.8%), and acute kidney injury (9.2%). Antibiotics were administered in 40.8%. Bacteriological cultures were positive in 42.1% (n=32). Gram negative bacteria were common–Klebsiella pneumoniae (27.6%), pseudomonas aerogenisa (7.95%), and Streptococcus pyogenes (2.6%) Escherichia coli (1.3%), Staphylococcus aurous (1.3%) and candida (1.3%). There a high prevalence of resistance to common antibiotics. Conclusions: There is high prevalence of infections in patients in a medical ICU in Khartoum – Sudan. Gram negative bacteria are the most prevalent and resistance to antibiotics is high. Risk factors are age and multiple comorbidities