贵州省某医院多重耐药菌目标监测结果分析  

Targeted surveillance and analysis of multi-drug resistant bacteria in a hospital in Guizhou

作　　者：李凌竹[1] 冷应蓉[1] 查筑红[1] 游灿青[1] 陈璐[1] 王清青[1] 罗光英[1] 黄冰[1] 程永素[1] 王敏[1] 刘伟[1] 

机构地区：[1]贵州医科大学附属医院医院感染管理科,贵州贵阳550004

出　　处：《现代预防医学》2015年第22期4202-4204,共3页Modern Preventive Medicine

基　　金：贵州省科技厅社会公关计划基金资助项目(编号:黔科合SY字[2013]3176号)

摘　　要：目的了解医院多重耐药菌基本情况,为制定多重耐药菌的医院感染防控措施提供依据。方法采用回顾性调查方法,对某医院2013和2014年多重耐药菌目标监测数据进行分析。结果 2013和2014年该院共检出多重耐药菌2 433株,其中医院感染658株,占27.04%。菌种分布以产超广谱β-内酰胺酶(ESBLs)大肠埃希菌为主,占42.25%。将临床科室分为5个系统,其中外科系统检出多重耐药菌最多,五官系统最少。医院感染多重耐药菌以产ESBLs大肠埃希菌和CR-AB为主,并且外科系统医院感染多重耐药构成比最高,妇儿系统最低。另外,多重耐药菌医院感染标本来源以痰液为主。结论加强多重耐药菌患者的管理,严格执行多重耐药菌消毒隔离措施,降低或避免造成多重耐药菌在院内的交叉感染风险,保障患者医疗安全。Objective This work was to know the general information of multi-resistant bacteria in the hospital, to provide the basis of prevention and control measures against nosocomial infection by multi-resistant bacteria. Methods Using the retrospective investigation methods, the data of multi-resistant bacteria in 2013 and 2014 was analyzed. Results 2433 strains of muhi-resistant bacteria were detected in the hospital from 2013 to 2014, and there were 658 strains from patients with nosocomial infections, accounting for 27.04%. Most multi-resistant bacteria isolates were Escherichia coli producing ESBLs （42.25%）. Clinical departments were divided into five parts, among which the surgical part detected the most multi-resistant bacteria and ENT part detected the least. The main multi-resistant bacteria of nosocomial infection were E.coli producing ESBLs and CR-AB. In the five parts, the surgical part got the highest constituent ratio and children＇s part got the lowest constituent ratio. Besides, sputum specimens were the main source of specimens of nosocomial infections. Conclusion We should strengthen the management of patients infected with multi-resistant bacteria and improve disinfection and isolation measures against multi-resistant bacteria so that the risk of nosocomial infections can be reduced to keep the safety of patients.

关 键 词：多重耐药菌 目标监测 医院感染 

分 类 号：R446[医药卫生—诊断学]