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扬州某医院住院患者多重耐药菌分布特征

Distribution characteristics of multi-drug resistant organisms in nosocomial infections
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摘要 目的探讨医院感染多重耐药菌(MDRO)的临床分布特点,为临床科室提供MDRO感染防控对策。方法回顾性调查2017—2021年140607例住院患者的临床资料和微生物信息,分析各科室MDRO医院感染发生率、细菌种类分布、标本类型和感染部位等临床分布特点。结果5年发生MDRO医院感染106例次,例次感染率0.08%,各临床科室感染率0.03%~0.95%。外科系统病区神经外科感染率最高,内科系统病区呼吸科感染率最高。各科室医院感染MDRO的种类、标本类型及感染部位分布均有统计学差异(P<0.05)。结论MDRO以呼吸道感染为主,ICU的感染率最高,医院感染以耐碳青霉烯鲍曼不动杆菌为主。 Objective To investigate the clinical distribution characteristics of multi-drug resistant organisms(MDRO)in nosocomial infections,and to provide countermeasures for prevention and control of MDRO in clinical departments.Methods The clinical data and microbial information of 140607 hospitalized patients from 2017 to 2021 were retrospectively investigated,and the clinical distribution characteristics of nosocomial infection rate,bacterial species distribution,specimen type and infection site of MDRO in various departments were analyzed.Results In 5 years,there were 106 cases of multidrug-resistant bacteria nosocomial infection,with the infection rate of 0.08%,and the infection rate was 0.03%~0.95%in all clinical departments.The infection rate of neurosurgery was the highest in the surgical system ward,and the infection rate of respiratory department in the medical system ward was the highest.There were statistical differences in the types,specimen types and infection site distribution of MDRO in hospital infection among different departments(P<0.05).Conclusion MDRO infection is mainly in respiratory tract with the highest infection rate in ICU,and carbapenem-resistant Acinetobacter baumannii is the main nosocomial infection.
作者 周红菊 褚璇 尹莳 ZHOU Hong-ju;CHU Xuan;YIN Shi(Yangzhou Hongquan hospital,Yangzhou,Jiangsu 225200,China)
机构地区 扬州洪泉医院
出处 《中国消毒学杂志》 CAS 2023年第11期855-857,861,共4页 Chinese Journal of Disinfection
关键词 多重耐药菌 感染 分布特征 multi drug resistant organisms infection distribution characteristics
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