Pathogenic and risk factors analysis of nosocomial infection in critically ill patients in Quzhou emergency department

XU Xiaoliang WU Dejun CUI Yiming CHEN Yu Department of Emergency, Quzhou People's Hospital in Zhejiang Province, Quzhou 324000, China [Abstract] Objective To explore the pathogenic analysis and treatment of nosocomial infection in critically ill patients in Quzhou emevgency department. Methods 410 critically ill patients admitted to the emergency department in our hos鄄 pital from August 2017 to August 2018 were selected. The infection rate and distribution of infection sites, and distri鄄 bution of nosocomial pathogens. Results A total of 410 patients were investigated, of which 84 patients developed noso鄄 comial infection with an infection rate of 20.5%. Among them, the most infections were respiratory infections, 37 cases were infected, and the infection rate was 44.0%. A total of 84 pathogens were detected, and the most detected were Klebsiella pneumoniae, a total of 19 strains, accounting for 22.6% of the total number of strains. Age逸60 years old, hospitalization time over 1 week, more basic diseases,more lesions, abuse of antibiotics, and invasive procedures were related factors for hospital infection. Conclusion In order to prevent the occurrence of infection, the invasive operation should be reduced, the underlying diseases should be controlled, the aseptic concept should be strictly implemented in the medical process, the antibacterial drugs should be used reasonably, and the disinfection work of the ward environ鄄 ment should be done well. [Key words] Emergency department of Quzhou; Critically ill patients; Nosocomial infection; Pathogenic analysis; Treatment measures