重症监护病房病原菌分布调查及护理对策  

The pathogenic bacteria distribution and nursing countermeasure in ICU

作　　者：周丹丹[1] 顾利慧[1] 白丹[1] 潘金波[1] 

机构地区：[1]杭州市第三人民医院,浙江杭州310009

出　　处：《中国微生态学杂志》2013年第1期61-64,共4页Chinese Journal of Microecology

摘　　要：目的调查杭州市第三人民医院重症监护病房(ICU)病原菌的分布,耐药性情况及控制措施。方法对该院ICU 2009年1月至2010年7月期间所分离病原菌的菌群分布及其耐药情况进行回顾性分析。根据结果制定相应的护理对策。结果共分离出病原菌2 694株,以革兰阴性杆菌为主,占73.2%,其中比例最高的为鲍曼不动杆菌(21.9%),其次为铜绿假单胞菌(16.8%)。革兰阳性球菌占16.5%,比例最高为金黄色葡萄球菌(10.3%)。真菌占10.3%。结论革兰阴性杆菌仍为ICU主要病原菌,且呈现多重耐药趋势,制定有效的防治对策十分重要。Objective To investigate the pathogenic bacteria distribution,drug-resistance and control measures in Intensive Care Unit（ICU） of our hospital.Methods The clinical data of pathogenic bacteria distribution and their drug resistance from January 2009 to July 2010 in ICU of the Third People′s Hospital of Hangzhou were analysized retrospectively.Appropriate nursing countermeasures were developed according to the results.Results 2 694 strains of pathogens were isolated from nosocomial infection cases.The isolation rate of Gram-negative bacilli was 73.2%.The highest isolation rate（21.9%） was of Acinetobacter baumannii,followed by Pseudomonas aeruginosa（16.8%）.The isolation rate of Gram-positive cocci was 16.5%.The highest isolation rate（10.3%） was of Staphylococcus aureus.The isolation rate of fungi was 10.3%.Conclusion Gram-negative bacteria is still the main pathogen in ICU,which presents a multi-drug resistance.Development of effective countermeasures is very important.

关 键 词：重症监护病房 医院感染 护理对策 

分 类 号：R378[医药卫生—病原生物学]