多重耐药菌的临床分布特征和危险因素分析  

Clinical distribution characters of multi-drug resistant organism and analysis of risk factors

作　　者：王锦[1] 黄梅[1] 王虹[1] 

机构地区：[1]青岛市市立医院院感科,山东青岛266000

出　　处：《中国卫生检验杂志》2014年第24期3622-3624,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的通过对全院临床科室多重耐药菌感染患者进行监测,分析多重耐药菌感染的高危因素、治疗转归等,为控制多重耐药菌感染提供依据。方法对2013年全院多重耐药菌感染进行监测,针对多重耐药菌的发生科室、样本来源、菌种分布、治疗转归等进行回顾性分析,并采取有效控制措施。结果多重耐药菌的医院感染占所有医院感染的30.7%,检出数量最多的是鲍曼不动杆菌,检出科室主要来源于ICU、急症病房和烧伤整形科,检出最多的标本是痰,多重耐药菌的医院感染与年龄、病程、抗生素使用、糖尿病、手术相关。结论多重耐药菌感染与患者基础性疾病,住院时间、手术等相关,控制医院的多重耐药菌感染,临床防控力度还需进一步加强。Objective To provide the basis for clinical effective control of the multi- drug resistant organism（ MDRO） infections through continuous surveillance of patients with MDRO from all clinical departments of this hospital and the risk factors analysis of MDRO infection and its treatment and discovery. Methods The MDRO occurrence departments,specimens sources,species distribution and the treatment outcome of multi- drug resistant organism were respectively analyzed through monitoring MDRO cases in 2013,and take effective control measures. Results MDRO hospital infection accounted for 30. 7% of all hospital infections,the largest amount among which was acinetobacter baumannii. Detection departments mainly came from ICU,accident ward and burn department,and the most detection specimen was sputum. MDRO infection was related with age,course time,antibiotic,diabetes mellitus and surgery. Conclusion MDRO infections are related to the underlying diseases,the length of hospital staying and operations. In order to control the hospital MDRO infections,the clinical control should be further strengthened.

关 键 词：多重耐药菌 医院感染 危险因素 

分 类 号：R446.5[医药卫生—诊断学]