主动筛查重症监护病房耐万古霉素肠球菌和防控措施  

Active surveillance on vancomycin resistant enterococcus in intensive care unit and control measures

作　　者：薄天慧[1] 郝银松 王德琴[1] 白文辉[1] 

机构地区：[1]北京大学首钢医院,北京100144

出　　处：《中国消毒学杂志》2016年第5期411-412,415,共3页Chinese Journal of Disinfection

摘　　要：目的研究综合重症监护室(ICU)住院患者耐万古霉素肠球菌(VRE)感染或定植情况,建立有效防控措施。方法采用细菌分离鉴定技术,对某医院综合ICU住院患者进行VRE主动筛查,采取有效防控措施。结果采取防控干预措施之前的2013年调查当日,19例患者的肛拭子VRE检出率为47.37%,血、尿、痰液中VRE检出率为5.26%。经采取单间或分区域隔离、加强医务人员手卫生和病房环境及床单位终末消毒等干预措施1月后的2014年调查当日,15例患者肛拭子VRE检出率为13.33%,血、尿、痰液中VRE未检出。结论该医院综合ICU患者送检标本VRE检出率较高,经采取有效防控措施之后,患者的VRE检出率明显下降。Objective To study the infection and colonization of vancomycin resistant enterococcus（VRE） in hospitalized patients in intensive care unit（ICU） , to establish the effective prevention and control measures. Methods Bacterial isola- tion and identification technology were used to do VRE active screening in ICU and taking effective prevention and control measures. Results Before taking prevention and control interventions, the positive rate of VRE of patients in ICU with rec- tal swab samples was 47.37%, the positive rate of microbial samples of blood, urine and sputum was 5.26% in the investi- gation day. The intervention measures concluded isolating the detected target drug - resistant patients to single room or sub - regional, the management of hand hygiene, environmental cleaning and disinfection , and so on. After a month, the positive rate with rectal swab samples was 13.33% and the rate of microbial samples of blood,urine and sputum was O. Conclusion The positive rate of VRE of patients samples is high, and after effectively control method, the positive rate of VRE has ob- vious decline.

关 键 词：耐万古霉素肠球菌 重症监护病房 主动筛查 医院感染 防控措施 

分 类 号：R378[医药卫生—病原生物学]