NOSOCOMIAL PULMONARY INFECTION IN SURGICAL CRITICAL CARE PATIENTS_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Ying Mingying ¹ , Luo Chunxin ¹ , Hu Jiankun ¹ , et al. ²

ICU of Surgery, First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041;

Corresponding author：

Keywords：

Critical care; Nosocomial infection; Pulmonary infection

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In order to identify the incidence of nosocomial pulmonary infection in surgical critical care patients in our hospital, we studied 800 patients discharged from surgical intensive care unit between May 1992 to Dec. 1994. One hundred and six episodes of pulmonary infection were found in 96 cases, in which 20 cases had been re-infected. The infection rate was 12.0%. The age of patients, APACHE- Ⅱ score and duration in ICU were closely related to the incidence of pulmonary infection. Tracheal intubation, tracheotomy and mechanical ventilation were the predisposing factors. The prevalent pathogens were pseudomonas aeruginosa, acinetobacter, staphylococcus aureus and candida albicans. 54.7% of cases were infected with more than one pathogens, and 36.8% of cases had fungal infection. The prevention and treatment are also discussed.

Citation： Ying Mingying,Luo Chunxin,Hu Jiankun,et al.. NOSOCOMIAL PULMONARY INFECTION IN SURGICAL CRITICAL CARE PATIENTS. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1996, 3(2): 100-103. doi: Copy

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1. 沈文筠，韩家林主编.危重监护治疗手册.第一版.北京：人民军医出版社，1994：152～157.
2. Celis R,Torres A,Gatell JM,et al.Nosocomial pneumonias.Chest,1990;97:1208.
3. Joshi N,Localio AR,Hamory BH,et al.A predictive risk index for nosocomial pneumonia in the intensive care unit.Am J Med,1992;93:135.
4. Rello J,Ausina V,Castella J,et al.Nosocomial respiratory tract infections in multiple trauma patients.Chest,1992;102:525.
5. Craven DE,Daschner FD.Nosocomial pneumonia in the intubated patients.Eur J Clin Microbiol Infect Dis,1989;9:40.
6. 李仲兴，郑家齐，李家宏等主编.诊断细菌学.第1版.香港：黄河文化出版社，1992：26～30.
7. Fagon JI,Chastre J,Hance AJ,et al.Detection of nosocomial lung infection in ventilated patients.Am Rev Respir Dis,1988;138:110.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

NOSOCOMIAL PULMONARY INFECTION IN SURGICAL CRITICAL CARE PATIENTS

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