重症监护病房鲍氏不动杆菌感染分布及预防控制措施  

Distribution and control measures for acinetobacter baumannii infection in intensive care unit

作　　者：秦桂英[1] 邱隆敏[1] 杨泽敏[1] 龙盛双[1] 谢容[1] 

机构地区：[1]遵义医学院附属医院院感科,贵州遵义563003

出　　处：《中华医院感染学杂志》2011年第9期1903-1904,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解重症监护病房(ICU)鲍氏不动杆菌的分布及耐药性,旨在为制定预防和控制措施提供依据。方法对2007年1月-2009年12月ICU送检标本分离到的91株鲍氏不动杆菌相关资料进行回顾性分析。结果 2007年1月-2009年12月共分离出鲍氏不动杆菌91株,主要来源于呼吸道标本占89.01%,其次为创面分泌物占7.69%;2007年耐药率>50.00%的抗菌药物只有5种,2008年15种抗菌药物的耐药率均>60.00%,2009年的耐药现象更为严重,15种常用抗菌药物中的12种耐药率>90.00%,泛耐药鲍氏不动杆菌的检出率逐年增加。结论鲍氏不动杆菌主要见于下呼吸道感染,感染率及耐药性逐年增加,加强无菌操作技术和手卫生管理规范,严格各项诊疗技术操作规范,合理使用抗菌药物等措施可有效预防和控制鲍氏不动杆菌的流行。OBJECTIVE To study the distribution and antimicrobial resistance of Acinetobacter baumannii（ABA） infection in order to propose the effective prevention and control measures.METHODS A total of 91 strains of A.baumanniiisolated from patients in an intensive care unit from Jan 2007 to Dec 2009 were included in this report by retrospective study.RESULTS Totally A.baumannii91 strains were mainly isolated from samples of respiratory tract（89.01%）,followed by wound surface secretion（7.69%）.The ABA with resistant rate more than 50.00% in 2007 only had 5 strains,but 15 strains had resistant rate more than 60.00% in 2008.In 2009,the circumstance was dramatically serious that 15 strains had the resistant rate more than 90.00%.Detection rate of pan-drug resistant ABA was increased year by year.CONCLUSION ABA infection is mainly founded in lower respiratory tract,the infection rate and drug resistance are increased yearly.For preventing ABA infection effectively,aseptic technique,hands sanitation supervision,strict diagnosis and treatment technical operation criterion and rational use of antibiotics should be emphasized.

关 键 词：重症监护病房 鲍氏不动杆菌 预防控制 措施 

分 类 号：R378[医药卫生—病原生物学]