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《Chinese Journal of Nosoconmiology》 2001-02
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Clinical Study of Hospital Infection of Lung in Cranial Injury Patients after Tracheotomy

TAN Pei nan, BAO Lian xi, HUANG Xi fu, YANG Xi guang (Guangzhou Economic and Technology Development Zone Hospital, Guangzhou 510730, China)  
OBJECTIVE To discuss the relevant factors causing hospital infection of lung in cranial injury patients after tracheotomy. METHODS Using prospective and retrospective studies to analyze sputum bacteria cultures, drug sensitive tests and relative clinical data of 166 cranial infury patients. RESULTS Incidence rate of hospital infection of lung was 78.9% in this group. Most occurred (3 6±0.64) days after tracheotomy. The death rate of infected patients is significantly higher than non infected patients (P0.05). Incidence rate of patients ingeneral ward is significantly higher than in intensive care unit (ICU) (P0.01). Two hundred and eighty nine strains of parhogenic bacteria were found, 73.4% of them were gram negative (G ). CONCLUSIONS Hospital infection of lung in cranial injury patient after tracheotomy is not related to use of dexamethasone, H 2 receptor antagonist and acid pump inhibitor, but is related to seriousness of cranial injury, environmental pollution of the hospital and infection causing by gram negative bacteria. Prevention and control should be done within the first week after tracheotomy with active treatment of original disease and use of ICU. Also effective are controlling the environmental pollution of the hospital and select ion of antibiotics based on drug sensitive tests to control infection.
【CateGory Index】: R651.15
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