摘要
目的了解医院住院患者感染多重耐药菌(MDROs)的分布特点和相关感染危险因素,为防控多重耐药菌感染提供理论依据。方法通过病原学标本检测和药敏试验方法,对某综合医院2014年全年住院患者送检病原学标本分离多重耐药菌进行检测与统计分析。结果该医院全年共检出多重耐药菌134株,其中有45.52%为医院内获得感染,社区获得感染占54.48%。MDROs感染患者主要分布在重症监护病房和神经内科,感染部位居前3位的是呼吸道、泌尿道和伤口。MDROs菌株中,以耐碳青霉烯类的铜绿假单胞菌构成比最高,为26.87%;其次是多重耐药大肠埃希菌和表皮葡萄球菌。结论该医院住院患者感染耐碳青霉烯类铜绿假单胞菌居多,应有针对性地实施干预措施,加强耐药菌监测和消毒隔离措施。
Objective To learn the distribution and the associated risk factors of hospital patients infected with multi-drug resistant（MDROs）bacteria,provide a theoretical basis for the prevention and control of multi-drug-resistant infections. Methods Etiology specimens detection and susceptibility test methods were used to separate and detect multi-drug resist-ant of inpatients submission etiology specimen of a general hospital in 2014 and perform statistical analysis. Results 134 strains of multi-drug resistant bacteria were detected out,of which 45. 52% was hospital-acquired infections,54. 48% was community-acquired infections. The mainly MDROs infected department were ICU and neurology,the first three infection site were respiratory tract,urinary tract and wound. Carbapenem-resistant Pseudomonas aeruginosa constituted the highest ratio of 26. 87% of MDROs,followed by multi-drug resistant Escherichia coli and Staphylococcus epidermidis. Conclusion Carbapenem-resistant Pseudomonas aeruginosa infections was the main hospital infection in this hospital. We should imple-ment targeted interventions to strengthen the monitoring and resistant disinfection and isolation measures.
作者
许新玲
王春香
梁华
胡永超
XU Xin-ling WANG Chun-Xiang LIANG Hua HU Yong-Chao(Shihezi People＇s Hospital, Shihezi Xingjiang 832000, Chin)
出处
《中国消毒学杂志》
CAS
北大核心
2016年第9期871-873,共3页
Chinese Journal of Disinfection
关键词
多重耐药菌
医院感染
干预措施
multidrug-resistant
nosocomial infection
interventions
