神经内科多重耐药菌感染变化分析及应对措施  

Analysis of the changes of bacterial infection and the correspondent measure in the department of neurology

作　　者：曾晓鹏[1] 曾令琼[1] 傅培春[2] 

机构地区：[1]重庆医科大学附属第一医院神经内科,400016 [2]重庆理工大学卫生所,400054

出　　处：《重庆医学》2015年第7期944-945,991,共3页Chongqing medicine

摘　　要：目的 分析2010年1月至2012年12月重庆医科大学附属第一医院神经内科细菌感染及多重耐药菌分离情况。方法 使用医生工作站系统调取2010~2012年本科室病例资料,Excel软件分类汇总细菌感染部位、细菌分类及细菌耐药性信息。结果 2010~2012年该科室细菌感染率由4.99%下降至3.41%,但细菌感染部位的构成比无明显变化。革兰阳性菌感染中仍然以金黄色葡萄球菌为主,革兰阴性菌感染中以大肠埃希菌为主,且3年间的排名无明显变化。革兰阴菌中的鲍曼不动杆菌和绿脓杆菌的分离率有上升势头。结论 3年来该科室在细菌感染防控方面取得了一定的成效,但防控形势依然严峻。Objective To analyze the situation of infections of bacteria and multi-drug resistant bacteria in Department of Neurology of First Affiliated Hospital of Chongqing Medical University from January 2010 to December 2012. Methods Clinical data from 2010--2012 were obtained via Doctor Workstation system and Excel software was applied to analyze the bacteria subto- tals sites,classifications and drug resistance rates. Results The rate of hospital bacterial infection decreased from 4.99% in 2010 to 3.41% 2013, while the composition of the bacterial infection sites exhibits no significant change. Staphylococcus aureus accounts for the major gram-positive bacterial infections, while E. coli contribute to gram-negative bacteria infections. Moreover, the ranking in the three years did not change significantly. In addition, the rate of Acinetobacter baumannii and Pseudomonas aeruginosa increased. Conclusion Our department has achieved some success in the control of bacterial infection in the past three years, however the situ- ation remains to be difficult.

关 键 词：神经内科 细菌感染 多重耐药菌 

分 类 号：R446.5[医药卫生—诊断学]