医院重点科室医护人员鼻前庭病原菌携带情况调查  

Investigation on the situation of pathogens nasal vestibule of medical staff of key departments in hospital

作　　者：王茹[1] 陈倩[1] 祝丙华[1] 王会中[1] 

机构地区：[1]解放军第305医院,北京100017

出　　处：《中国消毒学杂志》2015年第4期351-353,共3页Chinese Journal of Disinfection

摘　　要：目的研究医院部分重点科室医护人员鼻咽部携带致病菌的情况,以加强医院感染的预防与控制。方法采用涂抹采样和细菌分离鉴定方法,对某医院重症监护病房、手术室等部分重点科室65名医护人员鼻咽携带致病菌进行检测。结果从65例医护人员鼻咽部标本中共分离病原菌29株。重症监护病房医护人员分离率为66%,居首位。分离的主要致病菌有金黄色葡萄球菌、肠杆菌科、非发酵菌等。分离出多重耐药菌有耐甲氧西林金黄色葡萄球菌和耐碳青霉烯类鲍曼不动杆菌。结论该医院重点科室医务人员鼻咽部普遍携带病原菌,且存在多重耐药菌,应加强医护人员病原菌携带率及其耐药性监测。Objective To study the situation of nasopharynx pathogens carried by the medical staff＇s nasal vestibular in some key sections of the hospital,in order to strengthen the prevention and control of hospital infection. Methods Smear sampling,bacterial isolation and identification were used to detect the nasopharyngeal pathogens carried by 65 medical staff in some key departments of the hospital such as the ICU and operating room,etc. Results 29 strains of pathogenic were isolated from 65 medical staff＇s nasal vestibular. The isolation rate in ICU medical staff was 66%,ranking the first place. In these isolated strains,Staphylococcus aureus,Enterobacteriaceae and non- fermenting bacteria were the main pathogen.Some multidrug- resistant were isolated including methicillin- resistant Staphylococcus aureus and carbapenem- resistant Acinetobacter baumannii. Conclusion The nasal carriage of pathogens even multi- drug resistant are usual in medical staff in the key departments of the hospital,pathogen carriage rate and drug resistance surveillance of health care should be strengthened to conduct.

关 键 词：医务人员鼻咽部 致病菌携带 多重耐药菌 监测 

分 类 号：R378[医药卫生—病原生物学]