小儿内科多药耐药菌感染监测分析与护理对策  

Monitoring of multidrug-resistant bacteria infections in pediatrics department and nursing countermeasures

作　　者：谢建英[1] 沈岚[1] 朱玲仙[1] 

机构地区：[1]嘉兴市妇幼保健院防保院感管理科,浙江嘉兴314050

出　　处：《中华医院感染学杂志》2013年第5期1085-1086,1121,共3页Chinese Journal of Nosocomiology

摘　　要：目的监测分析小儿内科多药耐药菌感染情况,并提出护理对策。方法从2011年1-12月小儿内科住院患儿中收集多药耐药菌感染病例进行监测分析。结果 2011年1-12月小儿内科共有208例多药耐药菌感染,其中产ESBLs大肠埃希菌共123株,占59.13%;产ESBLs肺炎克雷伯菌共54株,占25.98%;耐甲氧西林金黄色葡萄球菌共30株,占14.42%;耐亚胺培南恶臭假单胞菌1株,占0.48%;社区感染202例占97.12%,医院感染6例占2.88%。结论加强多药耐药菌知识培训教育、落实消毒隔离措施、加强手卫生管理、注重标准预防、合理使用抗菌药物、加强健康宣教等管理,是有效控制和减少医院多药耐药菌发生、防止多药耐药菌医院传播的重要措施。OBJECTIVE To monitor and analyze the condition of multidrug-resistant bacteria infections,provide the corresponding nursing strategies in pediatrics.METHODS The monitoring was carried out for the hospitalized pediatric patients with multidrug-resistant bacteria infections from Jan 2011 to Dec 2011.RESULTS There were totally 208 cases with multidrug-resistant bacteria infections in the pediatrics department.There were 123（59.13%） strains of ESBLs-producing Escherichia coli,54（25.98%） strains of ESBLs-producing Klebsiella pneumoniae,30（14.42%） strains of methicillin-resistant Staphylococcus aureus,and 1（0.48%） strain of imipenem-resistant Pseudomonas putida.Moreover,there were 202（97.12%） cases with community-acquired infections and 6（2.28%） cases with hospital-acquired infections.CONCLUSION Intensifying the training and education of knowledge of the multidrug-resistant bacteria infections,implementing the strict disinfection isolation measures,strengthening hand hygiene management,stressing the standard prophylaxis,rationally using antimicrobial drugs and strengthening health propaganda and education are important measures for effectively controlling and reducing the occurrence of multi-drug resistant bacteria infections,preventing the transmission of multidrug-resistant bacteria in the hospital.

关 键 词：多药耐药菌 医院感染 监测 

分 类 号：R181.3[医药卫生—流行病学]