多重耐药菌感染的临床分布特征及护理管理  

Clinical distribution and nursing management of multi-drug resistant bacteria infection

作　　者：唐正利[1] 

机构地区：[1]江苏省无锡市第二人民医院护理部,214002

出　　处：《中华现代护理杂志》2014年第19期2386-2387,共2页Chinese Journal of Modern Nursing

摘　　要：目的：分析多重耐药菌在临床的分布特征，探讨降低医院多重耐药菌发生率的护理防控措施。方法分析2010年7月-2013年6月9376例多重耐药菌的临床分布特征，制定预防和控制多重耐药菌感染的综合护理干预措施，避免患者间交叉感染。结果神经外科（包括神经外科监护室）分离到的多重耐药菌最多，为1640例，占全部多重耐药菌患者的17．5％；其次为神经内科和重症监护室，分别为1507例（16．1％）和1493例（15．9％）。9376例中，以金黄色葡萄球菌耐药最常见，为1930例（20．6％），其后依次为大肠埃希菌1635例（17．4％）、鲍曼不动杆菌1607例（17．1％）、肺炎克雷伯菌1504例（16．0％）、铜绿假单胞菌1103例（11．8％）。结论完善护理的标准作业程序，充分发挥护理感控网络对护理人员的监督管理，重视对护理人员的预警，是预防和控制多重耐药菌的关键。Objective To analyze the clinical distribution and incidence of multi-drug resistant bacteria infection and to investigate prevention and control measures .Methods During July 2010 to June 2013 , the clinical distribution characteristics of 9 376 cases of multi-drug resistant bacteria infection were analyzed .Then the prevention and control nursing interventions were taken .Results The department of neurosurgery （ include neuro-ICU） had highest incidence of multi-drug resistant bacteria infection, with 1 640 cases （17.5%）.Then, the department of neurology and ICU had 1 507 cases （16.1%） and 1 493 cases （15.9%） of multi-drug resistant bacteria infection.Within the 9 376 cases, the most frequent bacteria was staphylococcus aureus , with 1 930 cases （20.6%）;the escherichia coli was in the second place with 1 635 cases （17.4%）;the baumanii was 1 607 cases （17.1%）;the klebsiella pneumonia was 1 504 cases （16.0%）;the pseudomonas aeruginosa was 1 103 cases （11.8%）.Conclusions The key to prevent and control the multi-drug resistant bacteria infection is to improve the care interventions , develop the supervise and management of the infection control network, increase the degree of importance and emphasize the early warning system .

关 键 词：细菌感染 多重耐药菌 临床特征 护理管理 

分 类 号：R473.5[医药卫生—护理学]