在重症监护病房的老年患者感染的前性评估
Hasan Naz1, Pınar Korkmaz2, Esra Arslanal1
1Department of Infectious Diseases and Clinical Microbiology, Kocaeli State Hospital, Kocaeli, Turkey.
进入重症监护室 (ICU) 的老年患者患病率和死亡率较高. 肺炎是最常见的NI,突出了针对这一弱势群体制定有针对性的预防策略的需要.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 老年医学 老年医学
背景情况:
- 鼻腔感染 (NIs) 在医疗保健环境中是导致发病和死亡的重要原因.
- 老年患者经常需要进入重症监护室 (ICU),并面临复杂的治疗挑战.
研究的目的:
- 评估住院感染 (NIs) 相关的风险因素,在住院治疗 ICU 的老年患者.
- 为了确定这个患者队列中死亡率的预测因素.
主要方法:
- 从2018年4月到2019年4月,在两个医院进行了前性研究.
- 数据是通过日常ICU访问收集的,并记录在标准化表格上.
主要成果:
- 在600名ICU入院患者中,老年患者 (74.3%) 占大多数.
- 与成年患者 (59%) 相比,老年患者 (80%) 的NI率显著更高.
- 在老年患者中,肺炎是最常见的NI (42%),机械通风,长时间住院和气管切除的比例更高.
结论:
- 老年患者对NI的敏感性增加,在ICU中死亡率更高.
- 确定NI和死亡率的特定风险因素对于制定老年ICU患者有效的预防和管理策略至关重要.
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