下呼吸道嗜麦芽寡养单胞菌感染的特点及其影响因素

Analysis of characteristics and influencing factors of Stenotrophomonas maltophilia in lower respiratory tract infection

  • 摘要: 目的 分析嗜麦芽寡养单胞菌医院感染的特点、影响因素及预后,为临床预防和控制嗜麦芽寡养单胞菌感染提供理论依据。方法 收集解放军第五医学中心南院区2014年12月-2018年8月嗜麦芽寡养单胞菌感染病例422例,并对其送检标本、科室、感染部位、影响因素等相关资料进行统计与分析。结果 标本来源前五位分别为痰液(75.36%)、肺泡灌洗液(7.58%)、咽拭子(5.69%)、血液(4.74%)、分泌物(4.50%);科室分布前五位分别为重症监护病房(45.73%)、血液科(17.54%)、移植科(9.72%)、呼吸内科(9.48%)和肿瘤科(6.87%);感染部位以下呼吸道感染最为常见(88.39%,373/422);气管插管或切开、留置尿管、肺部基础疾病是下呼吸道患者感染嗜麦芽寡养单胞菌的影响因素(P<0.05)。结论 加强对伴有肺部基础疾病、气管插管或切开和留置尿管患者的感染预防与控制措施的落实,可有效地减少嗜麦芽寡养单胞菌下呼吸道感染率。

     

    Abstract: OBJECTIVE To analyze characteristics, influencing factors and prognosis of Stenotrophomonas maltophilia nosocomial infections, so as to provide theoretical basis for the clinical prevention and control of S. maltophilia infection. METHODS Totally 422 patients infected by S. maltophilia were collected in the Fifth Medical Center of the PLA from Dec. 2014 to Aug. 2018, and then a retrospective study was carried out to analyze the specimens, departments, infection sites and influencing factors of the patients. RESULTS The top five specimens sources were the sputum(75.36%), alveolar lavage fluid(7.58%), throat swabs(5.69%), blood(4.74%) and secretions(4.50%). The top five departments were critical care medicine department(45.73%), hematology department(17.54%), transplantation department(9.72%) and oncology department(6.87%). Lower respiratory tract infections were the most common(88.39%, 373/422). Tracheal intubation or incision, indwelling urinary catheter and basic pulmonary diseases were the influencing factors of S. maltophilia infection in patients with lower respiratory tract infection(P<0.05). CONCLUSION It is an effective way to reduce the rate of lower respiratory infection induced by S. maltophilia by strengthening the implementation of infection prevention and control measures for patients with underlying pulmonary diseases, tracheal intubation or incision and indwelling urinary catheters.

     

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