摘要
目的研究医院骨外科住院患者手术切口泛耐药鲍曼不动杆菌感染及其原因。方法通过现场流行病学调查和环境卫生学监测方法,对该医院骨外科2例病人手术切口泛耐药鲍曼不动杆菌切口感染情况进行了调查与分析。结果该医院骨科病房在2011年2月连续发生2例患者手术切口感染,从伤口分泌物中检出泛耐药鲍曼不动杆菌,但环境标本中未检出同源鲍曼不动杆菌。经采取消毒隔离措施和积极治疗措施,2例感染患者痊愈出院,无新的继发病例出现。此2例手术切口泛耐药鲍曼不动杆菌感染可能为患者自身皮肤携带菌迁移所致。结论该医院骨外科2例患者泛耐药鲍曼不动杆菌感染可能为自身细菌迁移所致,经严格消毒隔离和治疗措施,有效控制了感染爆发。
Objective To explore the reason of patients with pan-resistant Acinetobacter baumannii surgical site infection in the department of orthopedic surgery.Methods Field epidemiology and environmental hygiene monitoring were applied to investigate and analyze two patients with pan-resistant Acinetobacter baumannii surgical site infection in the department of orthopedic surgery.Results Two patients were infected with pan-resistant Acinetobacter baumannii surgical site infection in the orthopedic ward in February 2011.But no homologous Acinetobacter baumannii samples was detected in the hospital environment.The two infection cases were discharged with active treatment,disinfection and isolation.New secondary cases did not appeare.The two cases of pan-resistant Acinetobacter baumannii surgical incision infection may be caused by the migration of bacteria in the patients' own skin.Conclusion The two cases of pan-resistant Acinetobacter baumannii surgical incision infection may be due to the bacterial migration.The infection outbreak was effectively controlled through strict disinfection,isolation and treatment.
出处
《中国消毒学杂志》
CAS
北大核心
2012年第3期200-201,204,共3页
Chinese Journal of Disinfection
关键词
泛耐药鲍曼不动杆菌
切口感染
流行病学
消毒隔离
pan-resistant Acinetobacter baumannii
surgical site infection
epidemiology
disinfection isolation