某综合医院多重耐药细菌的目标性监测  

Targeted monitoring of multiple drug resistant bacteria in general hospitals

作　　者：郝素云[1] 张金玲[1] 陈燕[1] 石莹[1] 李锐[1] 王涛[1] 

机构地区：[1]武警后勤学院附属医院感染管理科,天津300162

出　　处：《武警后勤学院学报（医学版）》2015年第11期880-882,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】了解综合医院多重耐药细菌的分布,为预防和控制多重耐药细菌的医院感染提供依据。【方法】采用回顾性调查方法,对医院2013年10月至2014年3月住院患者分离的多重耐药细菌进行分析,描述多重耐药细菌的分布特征。【结果】检出的223株多重耐药细菌以革兰氏阴性杆菌为主,鲍曼不动杆菌所占比例最高(50.67%),神经重症医学科是多重耐药细菌检出数最多的科室(51.56%)。【结论】医院应加强多重耐药细菌的目标性监测,同时做好消毒隔离工作、正确合理使用抗菌药物。【Objective】To investigate the constituent of multi-drug resistant organism in the integrated hospital so as to provide reliable basis for multi-drug resistant organism of the nosocomial infections.【Methods】By means of retrospective survey, the multi-drug resistant organism from the patients who were hospitalized from October 2013 to March 2014 were analysed, described the distribution characteristics of the multi-drug resistant organisms.【Results】Gram-negative bacilli were the principal bacteria in the detections of the223 multi-drug resistant organisms. The Acinetobacter baumannii had a highest proportion（50.67%） in the total multi-drug resistant organisms. Department of neurological intensive medicine detected most of the multi-drug resistant organisms（51.56%）.【Conclusions】It＇s necessary to strengthen the target monitoring of multi-drug resistant organisms in the hospital, meanwhile complete the work of disinfection and isolation, and reasonably use antibiotics.

关 键 词：多重耐药细菌 耐药性 医院感染 分布 

分 类 号：R450[医药卫生—治疗学]