医院多药耐药菌目标监测的调查与干预措施  

Targeted surveillance to multi-drug resistant bacteria and intervention measures

作　　者：富秀玉[1] 马桂霞[1] 

机构地区：[1]新疆医科大学第二附属医院感染管理办公室,新疆乌鲁木齐830063

出　　处：《中华医院感染学杂志》2011年第8期1615-1616,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解医院常见多药耐药菌种类及分布,为控制医院感染提供科学依据,以便采取干预措施。方法回顾性分析医院2009年1-12月送检标本检出的123例铜绿假单胞菌、耐甲氧西林金黄色葡萄球菌、鲍氏不动杆菌等耐药菌检测资料。结果 3种耐药菌以下呼吸道感染为主,主要分布老年病科(16.3%)、ICU(15.5%)、呼吸内科(14.6%)、神经外科(12.2%)等科室,以铜绿假单胞菌感染居多占46.0%,其次为耐甲氧西林金黄色葡萄球菌占30.0%,鲍氏不动杆菌占23.6%,并对大多数抗菌药物敏感率较低。结论合理使用抗菌药物,采取隔离措施,加强医务人员手的清洁消毒等干预措施,多药耐药菌是可以防范的。OBJECTIVE To understand the distribution of common multi-resistant pathogen to provide the scientific basis for the control of infection in order to intervene.METHODS Retrospective analysis of 123 cases of Pseudomonas aeruginosa,methicillin-resistant Staphylococcus aureus,drug resistant Acinetobacter baumannii and other specimens from the information.RESULTS Three drug-resistant respiratory tract infection the following located mostly in Geriatrics（16.3%）,ICU（15.5%）,respiratory kone-kone（14.6%）,neurosurgery（12.2%） and other departments to P.aeruginosa bacterial infection 46.0% majority,followed by methicillin-resistant S.aureus 30.0%,A.baumannii accounts for 23.6%,and most of the low rate of antibiotic-sensitive.CONCLUSION Taking the rational use of antibiotics,taking measures to strengthen the hands of medical staff clean and disinfect such interventions,multi-resistant bacteria can be reduced.

关 键 词：医院感染 多药耐药菌 干预措施 

分 类 号：R197.323[医药卫生—卫生事业管理]