新生儿病区病原菌调查分析及预防感染对策  

Investigation and analysis of pathogenic bacteria from neonatal ward and countermeasures for infection prevention

作　　者：李伟中[1] 林伟青[1] 林佩贤[1] 辜红妮[1] 

机构地区：[1]汕头大学医学院第二附属医院儿科,广东汕头515031

出　　处：《中华医院感染学杂志》2011年第14期3066-3068,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解新生儿病区的病原菌分布及其耐药性,为有效预防和控制新生儿医院感染提供依据。方法对新生儿病区2009年4月-2011年3月,临床标本分离培养的细菌及耐药情况进行调查分析。结果共检出病原菌290株,其中革兰阳性菌174株占60.00%,革兰阴性菌106株占36.55%,真菌10株占3.45%,产ESBLs的肺炎克雷伯菌和大肠埃希菌分别为62.96%、38.89%,MRSA检出率为50.00%。结论通过病原学监测,了解细菌分布及其耐药趋势,对合理选择抗菌药物,控制耐药菌株产生,有效预防新生儿感染有重要意义。OBJECTIVE To investigate the clinical distribution characteristics and drug resistances of pathogens in neonatal ward. METHODS A retrospective investigation was made for the clinical pathogens as well as the drug resistance in neonatal ward from Apr 2009 to Mar 2011. RESULTS A total of 290 strains of pathogens were isolated from samples, which included 174 strains of G＋ bacteria （60. 00%） and 106 strains of G bacteria （36.55%） and 2 strains of fungi （3. 45%）. The rates of Klebsiella pneumooniae, Escherichia coli which produced ESBLs were 62.96% and 38.89 %. The detection rate of MRSA was 50.00%. CONCLUSION Inspecting pathogens and studying the trend of drug resistance are important for selecting antibiotics rationally, reducing infection incidence, and decreasing the occurrence of drug resistant strains in neonatal ward.

关 键 词：新生儿病区 病原菌 耐药性 预防对策 

分 类 号：R378[医药卫生—病原生物学]