摘要
目的调查本医院神经内科5例耐甲氧西林金黄色葡萄球菌感染暴发原因,采取防控措施。方法采用现场和病历资料查看,对发生于该医院神经内科耐甲氧西林金黄色葡萄球菌感染暴发的情况进行调查。结果该医院神经内科ICU在2周内连续发生5例患者9例次医院感染,其中肺部感染5例次,其他部位感染4例次。从5例病人痰标本中均检出MRSA阳性,阳性率100%;其中有4例病人标本中同时检出铜绿假单胞菌和鲍曼不动杆菌。在5例医院感染患者中,均进行过泌尿道插管,有4例患者实施中心静脉置管,2例患者气管插管和1例气管切开呼吸机辅助呼吸。结论此次感染为一起MRSA医院感染暴发,经过积极救治和消毒隔离很快控制了感染疫情。
Objective To investigate the cause of the outbreak of five cases of methicillin resistant Staphylococcus aureus infections in the department of neurology,and to adopt the prevention and control.Methods Field trail and data investigation methods were used to survey methicillin-resistant S.aureus infection in the hospital.Results 5 cases occurred in ICU of the neurology department in two weeks,which including 5 cases of pulmonary infection,and 4 cases of other infections.MRSA were detected from sputum specimens in 5 patients,the positive rate of 100%.Of which Pseudomonas aeruginosa and Acinetobacter baumannii were detected out in samples of 4 patients.All of the 5 patients with nosocomial infection have taken urinary tract,4 cases with central venous catheterization,2 cases with tracheal intubation and one case with tracheotomy in assisted respiration with the help of ventilator.Conclusions The infection is the outbreak of MRSA nosocomial infection.After the active treatment with disinfection and isolation,the infection has been controlled as soon as possible.
出处
《中国消毒学杂志》
CAS
2010年第6期727-729,共3页
Chinese Journal of Disinfection
关键词
消毒隔离
耐甲氧西林金黄色葡萄球菌
医院感染
暴发
调查
disinfection and isolation
methicillin resistant Staphylococcus aureus
nosocomial infection
outbreak
investigation
