心外科重症监护病房鲍氏不动杆菌医院感染暴发流行调查  

Fulminant Acinetobacter baumannii Nosocomial Infection in Cardiac SICU: An Epidemiological Study

作　　者：李卫光[1] 王一兵[1] 朱其凤[1] 董宝华[1] 

机构地区：[1]山东省立医院,山东济南250021

出　　处：《中华医院感染学杂志》2006年第10期1108-1109,1171,共3页Chinese Journal of Nosocomiology

摘　　要：目的 调查心外科重症监护病房下呼吸道鲍氏不动杆菌感染发生的危险因素，为预防和控制医院感染提供参考依据。方法 对心外科重症监护病房5例患儿在2004年7月8～26日期间发生下呼吸道鲍氏不动杆菌感染进行流行病学分析。结果 在心外科ICU15d内陆续出现5例患儿发生下呼吸道鲍氏不动杆菌感染，其中4例痊愈，1例死亡。结论 心外科重症监护病房布局不合理、部分人员无菌观念淡薄、无菌操作执行不严格和患儿呼吸机辅助呼吸时间过长，可能是引起5例患儿发生下呼吸道鲍氏不动杆菌感染暴发流行的主要原因。OBJECTIVE To find out epidemiological features of fulminant Acinetobacter baumannii nosocomial infection in cardiac SICU and the ways to prevent and treat this nosocomial infection. METHODS The case histories from 5 inpatients who developed A. baumannii nosocomial infection in cardiac SICU from July 8 to 26, 2004 were studied retrospectively to find out the reasons of the epidemia and treatments based on the sputum culture results. RESULTS These 5 inpatients developed lower respiratory tract infection on top of their original severe disease. Within 15 days, their sputum cultures were positive for A. baumannii, 4 of them recovered but one died. CONCLUSIONS The inpatients got the same nosocomial infection within the same period because of lowered resistance owing to unreasonable layout of cardiac SICU, their original weakness is due to various invasive operation like long duration mechanical ventilation, lack of isolation and sterilization, etc.

关 键 词：鲍氏不动杆菌 医院感染 

分 类 号：R619.3[医药卫生—外科学]