摘要
目的分析临床科室多重耐药菌感染分布情况并提出相应的预防控制对策,为临床诊疗提供依据。方法开展细菌耐药性检测,对156例多重耐药菌感染患者的感染部位和耐药菌种类、病原菌分布情况进行分析。结果该院多重耐药菌主要分布于ICU病房,占34%;医院感染的多重耐药菌以革兰阴性杆菌为主,其次是革兰阳性球菌,且多重耐药菌的主要种类是大肠埃希菌(46.2%)、鲍曼不动杆菌(19.9%)、铜绿假单胞菌(17.9%)、肺炎克雷伯菌(17.9%)、金黄色葡萄球菌(4.5%);多重耐药菌感染部位以呼吸系统感染为主,占48.1%,其次为泌尿系统感染,占39.0%。结论多重耐药菌增多是医院面临的重要问题,加强多重耐药菌的监测,严格执行消毒隔离措施、落实手卫生及合理应用抗菌药物,可以有效预防和控制多重耐药菌感染。
Objective To analyze the distribution of multidrug resistance bacteria infections in clinical departments and put for‐ward the corresponding countermeasures of prevention and control ,for providing basis for clinical diagnosis and treatment .Methods By carrying out the monitor of the drug resistance of bacteria ,the infection site and drug resistance strain and pathogenic bacteria distribution ,with 156 cases of multiple drug‐resistant bacteria infection ,were analyzed .Results The multidrug resistance bacteria of our hospital was distributed in the ICU unit ,accounted for 34% .Nosocomial infection of multidrug resistance bacteria was mainly the gram‐negative bacillus ,followed by the gram‐positive cocci ,and the majority of multidrug‐resistant bacteria were Escherichia co‐li（46 .2% ） ,Acinetobacter Baumannii（19 .9% ） ,Pseudomonas Aeruginosa（17 .9% ） ,Klebsiella Pneumoniae（17 .9% ） ,Staphylococcus Aureus（4 .5% ） .The priority was given to respiratory system infection ,accounted for 48 .1% ,followed by urinary system infection , accounted for 39 .0% .Conclusion The increase of multidrug resistance bacteria was very important problem that the hospital faced .It can effectively prevent and control multiple drug‐resistant bacteria infection by strengthening the monitoring of multi‐re‐sistant bacteria ,strictly executing disinfection and isolation measures ,the implementation of hand hygiene and reasonable application of antibiotics .
出处
《国际检验医学杂志》
CAS
2015年第15期2183-2184,2186,共3页
International Journal of Laboratory Medicine
关键词
多重耐药菌
感染
分布
预防控制
multidrug resistance bacteria
infection
distribution
prevention and control
