预防控制多药耐药菌感染的技术环节与战略对策  

Technique and strategic countermeasure for prevention and control of multidrug-resistant organism infection

作　　者：曹晋桂[1] 何晓锋[1] 崔霞[1] 路琴[1] 焦力群[1] 吴镝[1] 张虎[1] 马文杰[1] 刘真业[1] 刘芳[1] 

机构地区：[1]空军总医院感染控制科,北京100142

出　　处：《中华医院感染学杂志》2011年第24期5244-5246,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨预防控制多药耐药菌的技术环节及战略对策。方法主要干预措施包括及时准确的实验室诊断、全面科学的主动筛查、严格有效的消毒隔离、规范合理的应用抗菌药物及运用微生态学理论及方法。结果及时准确的实验室诊断是预防控制多药耐药菌感染的工作基础;全面科学的主动筛查是预防控制多药耐药菌感染的有效手段;严格有效的消毒隔离是预防控制多药耐药菌感染的重要措施;规范合理的应用抗菌药物是预防控制多药耐药菌感染的核心内涵;微生态学理论及方法是预防控制多药耐药菌感染的发展方向。结论多药耐药菌的预防控制是一个系统工程,需要医院决策层的大力支持和多部门、多学科的相互配合以及医院各类人员的共同协作,特别是强调多种干预方法的有效应用。OBJECTIVE To explore the technique and strategic countermeasure for the prevention and control of multidrug-resistant organism （MRDO） infection. METHODS The effectiveness of a series of intervention measures were discussed. RESULTS Timely and accurate laboratory diagnosis was the work foundation of the prevention and control of MRDO infection; comprehensive and scientific active screening was the effective means of the prevention and control of MRDO infection, strict sterilisation and isolation was the important measures of the prevention and control of MRDO infection, reasonable and normative application of antibacterial drug was the core connotation of the prevention and control of MRDO infection, perspective micro ecology theory and method was the development direction of the prevention and control of MRDO infection. CONCLUSION The prevention and control of MRDO infection is a systems engineering, which needs the support of hospital decision-makers and multidivisional, interdisciplinary cooperation as well as the hospital staff＇s cooperation, especially emphasizes the effective application of various intervention approaches.

关 键 词：预防控制 多药耐药 感染 战略对策 

分 类 号：R197.323[医药卫生—卫生事业管理]