TB Research

Multidrug-resistant organisms in intensive care units and logistic analysis of risk factors

Ying Han, Jin Zhang, Hong-Ze Zhang, Xinying Zhang, Yamei Wang

World Journal of Clinical Cases · 2022-02

Abstract

BACKGROUND: Intensive care unit (ICU) patients are critically ill and have low immunity. They will undergo various trauma medical procedures during diagnosis and treatment. The use of high-dose hormones and broad-spectrum antibiotics will increase the incidence of nosocomial infection in ICU patients. Therefore, it is necessary to explore the causes of nosocomial infection in ICU and provide basis for the prevention and control of nosocomial infection in ICU. AIM: To explore major pathogens of nosocomial infection in ICUs, methods of detection and drug resistance trends. METHODS: < 0.05 was considered statistically significant. RESULTS: was resistant to imipenem for approximate 4 years, and showed a 19.9% (19/99) and 20.20% (20/99) rate of meropenem resistance. Logistic analysis showed that mechanical ventilation and ureteral intubation were risk factors for multidrug-resistant bacterial infections. CONCLUSION: This study showed a high incidence of ICU infections. Mechanical ventilation and urine tube intubation were risk factors for infection with multidrug-resistant bacteria.

MeSH terms

  • Medicine
  • Acinetobacter baumannii
  • Intensive care unit
  • Sputum
  • Multiple drug resistance
  • Drug resistance
  • Antimicrobial
  • Logistic regression
  • Intensive care
  • Antibiotics
  • Internal medicine
  • Incidence (geometry)
  • Pseudomonas aeruginosa
  • Odds ratio
  • Antibiotic resistance
  • Pneumonia
  • Infection control
  • Acinetobacter
  • Intensive care medicine
  • Emergency medicine