Risk factors and nursing care of multidrug-resistant bacterial infections in pediatric intensive care units
儿童重症监护病房多重耐药菌感染的危险因素及护理

摘要

目的 探究儿童重症监护病房多重耐药菌感染的危险因素及护理。方法 确定本课题研究时间为2021年8月-2022年12月，并对此时段内，由我院儿童重症监护病房收治的120例患儿资料展开回顾性分析，其中包含60例多重耐药菌感染患儿，将感染患儿与未感染患儿的资料进行对比后，对诱发多重耐药菌感染的危险因素展开分析，总结相应的护理干预措施。结果 通过对单因素分析发现，PICU入住天数超过30天、并发症超过2种、留置尿管，使用激素类药物，使用抗菌药物超过2种，使用侵入性操作，实施机械通气以及再次插管为儿童重症监护病房多重耐药菌感染的主要影响因素；通过多因素分析发现，PICU入住天数、发生并发症、留置尿管、治疗过程中使用激素、使用抗菌药物，再次插管、实施侵入性操作及机械通气为儿童重症监护病房多重耐药菌感染的独立危险因素，（p<0.05）。结论 在儿童重症监护病房治疗中，诱发重耐药菌感染的危险因素较多，临床不仅要加以重视，还需采用相应的护理措施进行干预，以达到降低感染率，促进患儿尽快康复的目的。

Abstract

Objective To explore the risk factors and care of multiple drug resistant bacteria infection in pediatric intensive care unit.
Methods determine this research time for August 2021-2022 December, and during this period, by our children admitted children intensive care unit data retrospective analysis, including 60 cases of children with multiple drug-resistant bacteria infection, children infected with uninfected children, to induce the risk factors of multiple drug-resistant bacteria infection analysis, summarizes the corresponding nursing intervention measures.
Results Through the univariate analysis, PICU stay over 30 days, more than 2 kinds of complications, indwelling catheter, Using hormonal drugs, Using more than 2 antimicrobial agents, Using invasive operations, Mechanical ventilation and re-intubation are the main factors affecting multi-drug resistant bacterial infection in pediatric intensive care units; Through the multivariate analysis and found that, Days of PICU stay, occurrence of complications, indwelling catheters, use of hormones during treatment, use of antimicrobial agents, Re-intubation, invasive procedures and mechanical ventilation were independent risk factors for multiple drug resistant bacterial infection in pediatric intensive care units, (p<0.05).
Conclusion   In the treatment of pediatric intensive care unit, there are many risk factors to induce the infection of heavy drug resistant bacteria, which should not only pay attention to clinically, but also adopt corresponding nursing measures to intervene, so as to reduce the infection rate and promote the recovery of children as soon as possible.