摘要
目的了解医院多重耐药菌(MDROs)临床分布及感染情况,为医院感染防控提供参考。方法通过病原菌分离鉴定和医院感染监测,对某医院住院患者送检病原学标本进行检测与感染分布分析。对耐碳青霉烯类肠杆菌科细菌(CRE)、耐甲氧西林金黄色葡萄球菌(MRSA)、耐万古霉素肠球菌(VRE)、耐碳青霉烯鲍曼不动杆菌(CRABA)和耐碳青霉烯铜绿假单胞菌(CRPAE)及其所属患者目标性监测后的资料进行回顾调查。结果该医院在2年间共分离出多重耐药菌4种79株,包括耐甲氧西林金黄色葡萄球菌、耐碳青霉烯鲍曼不动杆菌、耐碳青霉烯铜绿假单胞菌和耐碳青霉烯类肠杆菌科细菌,未检出耐万古霉素肠球菌。临床分离多重耐药菌感染的患者主要分布于重症监护病房、呼吸科和神经外科。多重耐药菌感染来源中,医院内获得感染和社区获得感染分别占27. 85%和72. 15%。结论加强病原高强度筛查和监控有助于降低医院多重耐药菌感染发生率。
Objective Through investigating the clinical distribution and infection conditions of multidrug-resistant organism( MDRO) in a hospital, to provide reference for clinical infection prevention and control. Methods The detection and infection distribution of patients in a hospital were analyzed through the isolation and identification of pathogenic bacteria and hospital infection monitoring method. We retrospectively analyzed the data about the patients of carbapenem-resistant Enterobacteriaceae( CRE),methicillin-resistant Staphylococcus aureus( MRSA),vancomycin-resistant enterococci( VRE),carbon black alkene Acinetobacter baumannii( CRABA) and arbapenem-resistant Pseudomonas aeruginosa( CRPAE) in clinical laboratory from January 2016 to December 2017. Results A total of 79 multidrug-resistant organism were isolated from 2016 to 2017 in the hospital,in which MRSA,CRABA,CRPAE and CRE were isolated,while VRE wasn’t. Those MDRO were mainly distributed in ICU,department of respiratory medicion and department of neurosurgery. Among the infection patients caused by MDRO,infections and community-acquired infections in the hospital accounted for27. 85% and 72. 15%,respectively. Conclusions The detection rate of MDRO in this hospital was low,which was due to high-intensity screening and monitoring.
作者
李秀英
路珊珊
LI Xiu-ying;LU Shan-shan(The People's Hospital of Suzhou New District,Suzhou Jiangsu 215129,China)
出处
《中国消毒学杂志》
CAS
2019年第2期136-138,共3页
Chinese Journal of Disinfection
关键词
多重耐药菌
医院感染
目标性监测
multidrug-resistant organism(MDRO)
hospital infection
goal surveillance
