Đánh giá tỷ lệ nhiễm khuẩn bệnh viện và các yếu tố liên quan tại các khoa hồi sức tích cực, Bệnh viện Trung ương Quân đội 108 năm 2020=Assessment rate of hospital-acquired infection and factors related on hospitalized patients at intensive care units, 108 Military Central Hospital in 2020

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Tác giả: Tiến Sỹ Bùi, Quang Toàn Nguyễn, Thị Kim Phương Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.167-174

Bộ sưu tập: Báo, Tạp chí

ID: 243939

Thêm vào giỏ

To evaluate the situation of hospital-acquired infections related to invasive devices and related factors at the ICUs, 108 Military Central Hospital from 2020. Methods: Prospective descriptive study on 756 inpatients at the ICUs, 108 Central Military Hospital from 1/2020-12/2020. Results: Rate of hospital-acquired infections (HAI) was 30,56%. In which theo most common infections are pneumoniae infection (77,48%), bloodstream infection (9,09%), urinary tract infection (6,49). Risk factors for hospital-acquired pneumonia include hospitalization for more than 7 days, elderly patients over 60 years old, and invasive devices. The main pathogens causing hospital-acquired infections include Gram-negative bacteria with high antibiotic resistance such as A.baumannii, K.pneumoniae, P.aeruginosa. Conclusions: HAIs in the ICUs are mainly healthcare associated infections related to invasive devices and mainly caused by highly resistant Gram-negative bacteria.Xác định tỷ lệ NKBV và các yếu tố liên quan đến NKBV, tác nhân vi khuẩn gây bệnh và tính nhạy cảm kháng sinh ở các bệnh nhân điều trị tại các khoa HSTC, Bệnh viện Trung ương Quân đội 108 năm 2020. Đối tượng và phương pháp: Nghiên cứu mô tả tiến cứu trên 756 bệnh nhân điều trị nội trú tại các khoa HSTC, Bệnh viện Trung ương Quân đội 108 từ 1/2020-12/2020. Kết quả: Tỷ lệ NKBV là 30,56%. Trong đó viêm phổi bệnh viện (VPBV) chiếm 77,48%
nhiễm khuẩn huyết (NKH) chiếm 9,09%
nhiễm khuẩn tiết niệu (NKTN) chiếm 6,49%. Các yếu tố nguy cơ NKBV gồm nằm viện trên 7 ngày, nhóm bệnh nhân cao tuổi trên 60 tuổi, có thiết bị xâm nhập. Tác nhân gây NKBV chủ yếu gồm các vi khuẩn Gram âm có tính kháng kháng sinh cao như Acinetobacter baumannii, Klebsiella pneumoniae, Pseudomonas aeruginosa, Eschicichia coli, Staphylococcus aureus. Kết luận: Nhiễm khuẩn bệnh viện tại các khoa HSTC chủ yếu là các NKBV liên quan tới thiết bị xâm nhập, tác nhân gây NKBV chủ yếu là các vi khuẩn Gram âm có tính kháng kháng sinh cao.

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