综合ICU多重耐药鲍曼不动杆菌医院感染暴发调查与防控措施  

INVESTIGATION AND CONTROL MEASURES ON MULTIDRUG-RESISTANT ACINETOBACTER BAUMANNII NOSOCOMIAL INFECTION OUTBREAK IN COMPREHENSIVE ICU

作　　者：孙洪 张秀琴 周冬梅 

机构地区：[1]宁夏回族自治区第五人民医院,宁夏石嘴山753000

出　　处：《中国消毒学杂志》2014年第3期268-270,273,共4页Chinese Journal of Disinfection

摘　　要：目的调查一起多重耐药鲍曼不动杆菌医院感染在某医院重症监护病房暴发的原因,提出预防与控制措施。方法通过现场流行病学调查与病原学检测方法,对某医院重症监护病房(ICU)连续发生6例多重耐药鲍曼不动杆菌肺部感染患者进行调查与研究。结果该医院ICU在一个月内连续发生6例多重耐药鲍曼不动杆菌感染患者,耐药谱基本相同,属医院感染暴发。在该ICU环境标本中,分别从室内空气、物体表面和医护人员手标本中检测到鲍曼不动杆菌。结论该医院ICU所发生的鲍曼不动杆菌肺部感染属于医院感染暴发,经过及时采取有效防控措施,有效控制了疫情的发展。Objective To investigate the reason of a cases of multi - drug resistant Acinetobacter baumannii infections outbreak in hospital intensive care unit of a hospital, put forward prevention and control measures. Methods On - site pathogen detection methods and epidemiological investigation was used to conduct the survey and research on six patients with multi - drug resistant Acinetobacter baumannii pulmonary infection. Results Six cases of muhidrug - resistant Acine- tobacter banmannii infections in patients with the same resistance spectrum occurred within one month consecutively in ICU of the hospital, which was a hospital infection outbreaks. Acinetobacter baumannii can be detected from the indoor air, sur- face and paramedics hand specimens in the ICU environment respectively. Conclusion Patients with multi - drug resistant Acinetobacter baumannii pulmonary infection were hospital infection outbreaks. After take promptly and effective prevention and control measures, the development of the epidemic was controlled effectively.

关 键 词：多重耐药菌 鲍曼不动杆菌 感染暴发 综合重症监护病房 防控措施 

分 类 号：R181.32[医药卫生—流行病学]