持续脑室外引流并发鲍氏不动杆菌感染的原因分析及预防对策  

Investigation and prevention of intracranial infection caused by Acinetobacter baumannii after continued external ventricular drainage

作　　者：孟黎辉[1] 李永[1] 

机构地区：[1]首都医科大学附属北京同仁医院院感科,北京100730

出　　处：《中华医院感染学杂志》2011年第15期3172-3174,共3页Chinese Journal of Nosocomiology

摘　　要：目的提示临床重视鲍氏不动杆菌中枢神经系统感染的致病情况并探讨防治措施。方法调查某院ICU2010年4-7月3例鲍氏不动杆菌脑室炎的临床病例,对其发病和临床治疗情况进行分析。结果 3例患者中1例死亡,1例中残,1例经抗感染、加强隔离措施等综合治疗痊愈后出院。结论鲍氏不动杆菌引起的脑室炎病情危重,持续脑室外引流等侵入性操作多、大量使用广谱抗菌药物、医疗环境污染是造成耐药菌感染流行的主要原因。OBJECTIVE To study the prevention strategy of the intracranial infection caused by Acinetobacter baumannii.METHODS Totally 3 cases of the intracranial infection caused by A.baumannii in the ICU from Apr to Jul 2010 were analyzed.RESULTS One case died,1 case was disability,1 case was cured and discharged after comprehensive treatments,which included anti-infection and strengthening isolation.CONCLUSION The intracranial infection caused by A.baumannii is very serious.The infection factors are related to the invasive operation such as long time external ventricular drainage,extensive use of the broad-spectrum antibiotics and the contaminated environment of the ward.

关 键 词：持续脑室外引流 鲍氏不动杆菌 消毒隔离 

分 类 号：R378[医药卫生—病原生物学]