摘要
目的研究中医院住院患者多重耐药菌医院感染情况,采取有效控制措施。方法采用临床病原学标本检验和分析方法,对某中医院住院患者临床送检标本检测结果进行了调查与分析。结果该中医院在2011年度从住院病人送检的各类标本中共分离出多重耐药菌261株,其中耐甲氧西林金黄色葡萄球菌(MRSA)117株、泛耐药鲍曼不动杆菌87株、泛耐药铜绿假单胞菌55株、耐万古霉素肠球菌2株。标本主要来源于痰、血液、尿液。检出多重耐药菌病例前三位的科室分别是重症监护室(ICU)、急诊科和老年病房;感染部位以下呼吸道感染为主,其次是泌尿道感染。结论该医院住院患者感染多重耐药菌主要是MRSA,其次是鲍曼不动杆菌和铜绿假单胞菌,需加强对多药耐药菌的监控与感染管理。
Objective To study nosocomial infection situation of multidrug resistant organism in a traditional chinese medicine hospital and to take effectively control measures. Methods The clinical antimicrobial susceptibility test was used to make a diagnosis of the results of clinical isolates collected in patients in a traditional chinese medicine hospital. Results A total of 261 strains of multidrug resistant organism were isolated from clinical samples in the hospital during year 2011, which including methicillin - resistant Staphylococcus （ MRSA, 117 strains）, pan - resistant Acinetobacter baumannii （ 87 strains）, Pandrug - resistant Pseudomonas aeruginosa （55 strains ） and Vancomycin - resistant Enterococcus （ 2 strains）. The main sources of the samples were sputum, blood and urine. The top three clinical departments in which most strains were found were ICU, emergency department and geriatric department. The main infection sites were lower respiratory tract and urinary tract in turn. Conclusion The main muhidrug resistant organisms detected from patients of this hospital are MRSA, Acinetobacter baumannii and Pseudomonas aeruginosa. The monitoring and management measures should be strengthened.
出处
《中国消毒学杂志》
CAS
北大核心
2013年第10期942-943,946,共3页
Chinese Journal of Disinfection
关键词
多重耐药菌
医院感染
监测
管理措施
multidrug resistant organism
nosocomial infection
monitoring
management measures
