2009-2011年某医院ICU多重耐药菌多重感染调查分析  

Investigation and analysis of multidrug resistance bacteria multiple infection in ICU

作　　者：姚源[1] 曹素玉[2] 祝波[1] 王红韶[1] 

机构地区：[1]哈尔滨医科大学附属第一医院感染监控科,150001 [2]哈尔滨医科大学附属第二医院普外科,150086

出　　处：《中华现代护理杂志》2012年第24期2892-2894,共3页Chinese Journal of Modern Nursing

基　　金：黑龙江省卫生厅科研课题（2010-018）

摘　　要：目的探讨某医院综合ICU多重耐药菌多重感染状况，为预防及控制ICU多重耐药菌感染提供科学的临床依据，有效预防和控制医院感染。方法采用回顾性调查方法，对2009年1月至2011年10月ICU多重耐药菌感染资料进行收集汇总分析。结果医院综合ICU2009年1月至2011年10月发生多重耐药菌多重感染83例，发生率为2．82％，其中，2009年发生18例，2010年发生29例，2011年截至10月发生36例，呈上升趋势。病死率分别为22．22％，17．24％和16．67％。感染部位以呼吸道感染最常见，2009，2010，2011年发生率分别为83．33％，79．31％及86．11％；其次是泌尿道感染、切口感染及血液感染。菌种主要为MRSA、ESBLs阳性KPN、ECO等。其中，多重耐药鲍曼不动杆菌（MDR—ABA）比例相对较大，2009年1月至2011年10月发生率分别为21．0％，35．8％和46．4％，呈上升趋势。结论医院综合ICU多重耐药菌多重感染率呈上升趋势，病死率有所下降，应加强对ICU多重耐药菌感染的监测与控制，保证患者与医护人员的安全。Objective To investigate the status of muhidrug resistance bacteria multiple infection in ICU, in order to provide clinical basis for the prevention and control of multidrug resistance bacteria infections as well as hospital infections. Methods Retrospective method was used to collect and analyze the material of multidrug resistance bacteria infections in ICU from January 2009 to October 2011. Results 83 cases of muhidrug resistance bacteria infections happened in integrated ICU from January 2009 to October 2011 with the incidence rate of 2.82%, in which 18 cases happened in 2009, 29 in 2010 and 36 in 2011, symbolizing a rising trend. Besides, the fatality rate was 22.22%, 17.24% and 16.67%, respectively. Respiratory tract infection was most common, with the incidence rate of 83.33%, 79.31% and 86. 11% respectively in 2009, 2010, 2011, and urinary tract infection, surgical wound infection and blood infection were the next. The strain was mainly MRSA, ESBLs, positive KPN and ECO, etc, in which MDR - ABA＇ proportion was bigger, with the incidence rate of 21.0%, 35.8% and 46.4% respectively, symbolizing a rising trend. Conclusions The incident rate of multidrug resistance bacteria infections in ICU is going up, while the fatality rate is going down. The monitor and control of muhidrug resistance bacteria infections in ICU should be strengthened to guarantee patients＇ and medical staff＇s safety.

关 键 词：重症监护病房 感染 病原菌 多重耐药 

分 类 号：R446.5[医药卫生—诊断学]