MDRO infections in ICU patients are primarily caused by Gram-negative bacteria, Acinetobacter baumannii, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Escherichia coli being the common pathogens. The most prevalent site of infection is the lower respiratory tract (sputum samples), accounting for 70%-89.36% of cases, followed by urinary tract infections and catheter-related bloodstream infections. The risk factors for MDRO infections can be classified into host factors, medical procedures, and antibiotic use. Multifaceted strategies are required to prevent MDRO infections: Standardize antibiotic use by reducing unnecessary combinations of broad-spectrum antibiotics and optimizing medication protocols. Strengthen management of invasive procedures through strict aseptic techniques, shortened catheter dwell times, and regular assessments for indications for catheter removal. Enhance environmental and hand hygiene by intensifying ICU environmental disinfection and improving hand hygiene compliance among healthcare workers. Active screening for MDRO should be conducted among high-risk patients (such as those with trauma or long-term hospitalization), and contact isolation measures should be implemented. Comprehensive prevention and control to reduce infection rates and medical burdens require multidisciplinary collaboration (such as PDCA management and MDT models).
Citation: Li S (2025) Opinion: Distribution and Risk Factors Analysis of Multidrug-resistant Bacterial Infections in ICU Ward Patients. HSOA J Altern Complement Integr Med 11: 580.
Copyright: © 2025 Shuxian Li, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.