院感控制措施对控制ICU耐甲氧西林金黄色葡萄球菌感染的效果评价  

Effect Assessment of Nosocomial Infection Control Measures on Controlling Eticillin-resistant Staphylococcus aureus Infection in ICU

作　　者：张毕明[1] 侯正利[1] 李源湘[1] 范利娅[1] 

机构地区：[1]湖南省长沙市第四医院检验科,湖南长沙410006

出　　处：《实用预防医学》2012年第9期1384-1385,共2页Practical Preventive Medicine

摘　　要：目的对重症监护病房(ICU)耐甲氧西林金黄色葡萄球菌(MRSA)感染实施监控措施后效果的评价,探讨如何更好的控制其感染。方法 2008年8月-2010年9月长沙市某医院重症监护病房内MRSA感染共164例患者,分析其可能引起感染的因素并采取相应的消毒隔离等监控措施,对效果进行评价。结果实施相应的监控措施后ICU患者的MRSA感染率较实施监控措施前明显下降,两者比较差异有统计学意义(P<0.05),控制感染实施干预措施后ICU环境院感监测MRSA检出率较之前明显下降,两者比较差异有统计学意义(P<0.01)。结论对ICU实施消毒隔离等监控措施能有效降低MRSA感染率,并可以预防感染。Objective To explore the better ways to control infections by investigating the results of meticillin-resistant Staphylococcus aureus （MRSA） infection after taking disinfection and isolation measures in the ICU. Methods All possible causes were analyzed and the corresponding measures of disinfection and isolation were taken to the 164 patients who were infected with MRSA in the ICU of a hospital in Changsha from August 2008 to September 2010. Results After taking disinfection and isolation measures, the infection rate of MRSA in the patients of ICU was significantly decreased compared with before taking the measures, and the difference was statistically significant （P 〈 0.05 ）. After taking the measures, the detection rate of MRSA in the ICU was significantly lower than that of before taking the measures, the difference was statistically significant （ P 〈 0.01 ）. Conclusions Implementing disinfection and isolation measures in the ICU could effectively control the MRSA infection and prevent other similar infections.

关 键 词：重症监护病房 耐甲氧西林金黄色葡萄球菌 医院感染 监控措施 

分 类 号：R378[医药卫生—病原生物学]