摘要
目的:对重症监护室(ICU)患者的多重耐药菌实施主动筛查,分析其定植与感染状况。方法:选取2018年1月至2019年12月五邑中医院100例在ICU进行诊治的患者作为研究对象,对患者实施多重耐药菌主动筛查,分析不同种类多重耐药菌的分布情况及入住ICU不同时间点的定植、感染状况。结果:患者入住ICU 48 h内、48 h后均有多重耐药菌的感染与定植状况出现,菌株定植、感染情况集中出现在入ICU 48 h内,且多数为产超广谱β–内酰胺酶(ESBLs)大肠埃希菌。ESBLs大肠埃希菌的定植率、感染率均高于其他菌株,差异均具有统计学意义(P<0.05)。结论:ESBLs大肠埃希菌是本院ICU患者主要的定植多重耐药菌,对ICU患者的多重耐药菌及时进行主动筛查,并根据实际情况进行有效的消毒隔离处理,有助于避免病菌大规模传播和感染。
Objective To carry out active screening of multidrug-resistant bacteria in intensive care unit (ICU) patients,and analyze their colonization and infection status.Methods A total of 100 patients admitted to ICU of Wuyi Hospital of Traditional Chinese Medicine from January 2018 to December 2019 were selected as the research subjects.The patients were actively screened for multidrug-resistant bacteria,and the distribution of different types of multidrug-resistant bacteria,colonization and infection status at different time points in ICU were analyzed.Results The infection and colonization of multidrug-resistant bacteria were found within 48 h and 48 h after admission to ICU.The colonization and infection of multidrug-resistant bacteria mainly occurred within 48 h after admission to ICU,and most of them were extended-spectrum β-Lactamase (ESBLs) escherichia coli.Colonization rate and infection rate of ESBLs escherichia coli were higher than those of other strains,and the differences were statistically significant(P < 0.05).Conclusion ESBLs escherichia coli is the main multi-drug resistant bacteria in ICU patients in our hospital.Timely active screening of multi-drug resistant bacteria in ICU patients and effective disinfection and isolation treatment according to the actual situation,and can help avoid large-scale spread and infection of bacteria.
作者
谭晓宇
李月桂
钟一梅
TAN Xiao-yu;LI Yue-gui;ZHONG Yi-mei(Wuyi Hospital of Traditional Chinese Medicine,Guagdong Jiangmen 529000)
出处
《深圳中西医结合杂志》
2021年第22期42-44,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
多重耐药菌
主动筛查
重症监护室
Multidrug-resistant bacteria
Active screening
Intensive care unit
