Objective To discuss the
risk factors and
nursing intervention of multidrug-resistant organism (MDRO)
infection in
patients of
traditional Chinese medicine hospital (TCM).
Methods By investigating the
patients admitted to
Beijing Xuan Wu
Hospital of
Traditional Chinese medicine from June 2015 to June 2016, 756
patients of them
who were confirmed with
clinical diagnosis of
infection and pathogen
detection with positive, which were divided into MDRO group including 97cases and non-MDRO group including 659 cases, then the pathogens of MRDO
infection species and distributionwere counted, and analyzed
risk factors for
infection . Results A total of 756 cases were detected positive
strains 816
strains , including 611
strains of
monitoring target
strains , 116
strains of MRDO. The top three were
methicillin-resistant staphylococcus aurous 30.17%(35/116),
Pseudomonas aeruginosa 18.97% (22/116) and
Klebsiella pneumonia 18.10% (21/116). Single
factor analysis results showed that the
patients ' age,
hospitalization days, the
history of other
hospital admission, invasive
procedure , basic
chronic disease (diabetes,
cerebrovascular disease ,
lung disease ) and combined use of
antibiotics were MDRO
infection risk factors (χ2=9.470-198.609, P < 0.01); multivariate
Logistic regression analysis showed that the independent
risk factors of MDRO
infection were the
history of other
hospital admission (OR=2.085, 95%CI1.040-4.179), invasive
procedure (OR=3.063,95% CI1.526- 6.150), diabetes (OR=2.037,95% CI1.070- 3.877),
cerebrovascular disease (OR=4.349,95%CI 2.035-9.293)and combined use of
antibiotics (OR=18.723,95% CI9.202-38.094). Conclusions
Patients of TCM have many characteristics, such as with more basic
diseases , longer
length of stay , elder and so on. So we should be alert to the
risk of MDRO
infection and take
nursing interventions to prevent and strengthen the isolation prevention.