重症监护病房鲍氏不动杆菌感染病例的调查分析  

Acinetobacter baummaniinfection in intensive care uint

作　　者：张静萍[1] 朱婉[1] 盛桂秋[1] 赵敏[1] 陈佰义[1] 

机构地区：[1]中国医科大学附属第一医院感染科,辽宁沈阳110001

出　　处：《中华医院感染学杂志》2011年第11期2189-2191,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院重症监护病房(ICU)鲍氏不动杆菌感染的流行病学资料,为预防与控制医院感染暴发流行提供参考依据。方法对重症监护病房鲍氏不动杆菌感染病例进行回顾性分析;环境卫生学监测采样方法参照卫生部《消毒技术规范标准》。结果 6例患者平均年龄为70岁,入住ICU时间均>10 d,原发基础疾病重;在74份物体表面标本中共分离出大肠埃希菌、铜绿假单胞菌、枯草芽胞杆菌黑色变种芽胞、凝固酶阴性葡萄球菌4种细菌,合格率为94.59%;23份医护人员手卫生标本中分离出肺炎克雷伯菌、凝固酶阴性葡萄球菌和日沟维肠杆菌,菌落计数未超标,均未检出致病菌。结论鲍氏不动杆菌感染在ICU有上升的趋势,应引起医护人员的高度警惕,及时采取防控措施以避免医院感染的暴发流行。OBJECTIVE Through the epidemiological survey and analysis of the infection cases caused by Acinetobacter baummanii in ICU,provide valid datas for preventing and controlling the outbreak of nosocomial infection in our hospital.METHODS The average age of the six patients was 70 years old,and the hospitalization-days in ICU exceeded ten days.All the patients had severe primarily deseases.The infection cases caused by A.baummanii in ICU were retrospectively analyzed.Hospital Disinfection health standards was executed during the monitoring of environmental hygiene.RESULTS E.coli,Bacillus aeruginosus,Bacillus subtilis and Coagulase negative staphylococcus were detected from the 74 environmental samples,and the qualification rate was 94.59%.Klebsiella pneumoniae,Coagulase negative staphylococcus and Enterobacter gergoviae were detected from the 23 hand hygiene samples,and the colony countings of all the samples were within the normal range values.The pathogenic bacterium were not found in any samples.CONCLUSION The infections caused by A.baumannii in the ICU are on the rise,and all the medical staff should keep alarm.Effective measures should be taken in time to prevent and control the outbreak of nosocomial infections.

关 键 词：鲍氏不动杆菌 重症监护病房 感染 环境检测 

分 类 号：R181.32[医药卫生—流行病学]