摘要
目的探讨医院感染葡萄球菌属细菌的分布、危险因素及其耐药情况,为预防感染及临床治疗提供线索。方法回顾性调查我院68例医院感染病例标本中分离的葡萄球菌属细菌的分类及耐药性,并对感染者的一般情况、感染部位等进行统计分析。结果68例患者中感染部位前三位依次为呼吸道36例(52.94%),切口14例(20.59%),泌尿道8例(11.76%);细菌分类以金黄色葡萄球菌为主有51株(75%)。本组葡萄球菌均为多重耐药菌,但均对万古霉素敏感。结论严重创伤、手术及侵入性诊疗操作等使机体正常屏障结构的破坏,是发生葡萄球菌所致医院感染的重要原因。对手术和侵入性诊疗操作要严格消毒隔离和无菌技术,对各类插管要加强护理,积极预防和治疗感染。
Objective To study the distribution, risk factors and drug tolerance of staphylococcal bacteria in hospital infection. Methods A retrospective investigation was made to 68 strains of staphylococcal bacteria from the hospital infection cases and a statistical analysis was given to the general condition and infected sites of the patients. Results Out of the 68 cases, the first three infected sites ranged as follows ： respiratory tract （ 36 cases, 52.94 % ）, incision （ 14 cases, 20.59 % ） and urinary tract （ 8 cases,l1.76% ） ;Staphylococcus aureus was the main strain in bacteria classification,in total 51 strains （75%） ;the Staphylococcal were multiple drug tolerant but were all allergic to vancomycin. Conclusions Severe injury, operation and invasive performance in diaguosis and treatment are the main causes for hospital infection by Staphylococcal; disinfection, isolation and aseptic processing should be stressed in operation and invasive performance and nursing in intubation should be strengthened so as to prevent infection.
出处
《西南军医》
2005年第5期18-19,共2页
Journal of Military Surgeon in Southwest China
关键词
医院感染
葡萄球菌属
hospital infection Staphylococcal
