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医院获得性感染是呼吸监护病房(RICU)患者中一种常见的并发症,可使发病率和死亡率增高,尤其是严重的ARDS 患者。本文前瞻性研究了RICU 继发感染的发病率、易感因素、病原菌及其对抗生素的耐药类型。方法:250例相继入院患者,其中137例男性,113例女性,年龄12～85岁(平均40岁)。医院获得性感染是指入RICU 后24小时所发生的感染,临床表现为发热、白细胞增高伴核左移、脓性支气管分泌物、胸片示新的浸润病灶并有进行性气体交换障碍。结果:虽入院诊断(如哮喘、肺炎、慢性阻塞性肺疾病、ARDS、其他肺疾病、心脏病、神经系统
Hospital-acquired infections are a common complication in respiratory care units (RICU) and can lead to increased morbidity and mortality, especially in patients with severe ARDS. This prospective study of the incidence of RICU secondary infection, susceptibility factors, pathogens and their types of resistance to antibiotics. Methods: Two hundred and fifty consecutive hospitalized patients, 137 males and 113 females, aged 12 to 85 years (mean, 40 years). Hospital-acquired infections are infections that occur 24 hours after RICU, with clinical manifestations of fever, leukocytosis with left nucleus, purulent bronchial secretions, chest X-ray showing new infiltrative lesions and progressive gas exchange disorders. Results: Although admission diagnosis (such as asthma, pneumonia, chronic obstructive pulmonary disease, ARDS, other lung diseases, heart disease, nervous system