某医院住院患者耐甲氧西林金黄色葡萄球菌感染现状调查  

Investigation on the infection status of the patients with methicillin-resistant Staphylococcus aureus in a hospital

作　　者：黄娟[1] 郭世辉[1] 覃金爱[1] 黄小红[1] 张云 李绍英[1] 胡绮萍[1] 韦巧灵[1] 李兰兰[1] 牙晶晶[1] HUANG Juan GUO Shi-hui QIN Jin-ai HUANG Xiao-hong ZHANG Yun LI Shao-ying HU Qi-ping WEI Qiao-ling LI Lan-lan YA Jing-jing(The First Hospital of Guangxi Medical University, Nanning Guangxi 530021, China)

机构地区：[1]广西医科大学第一附属医院,广西南宁530021

出　　处：《中国消毒学杂志》2016年第9期877-878,881,共3页Chinese Journal of Disinfection

基　　金：广西壮族自治区卫生厅科研课题(桂卫Z2013023)

摘　　要：目的了解医院住院患者耐甲氧西林金黄色葡萄球菌感染现状。方法采用细菌分离鉴定技术,对某医院住院患者送检病原学标本进行检测。结果该医院在2010-2014年期间从住院患者送检标本中共分离出金黄色葡萄球菌1 990株,其中MRSA402株,检出率为20.20%,呈现出先下降后回升的发展趋势。MRSA主要分离自创面分泌物、痰液和脓液标本,感染患者主要分布在烧伤整形病区、皮肤科病区和中医科。结论该医院住院患者MRSA感染部位主要为伤口和呼吸道,其感染率升降并无规律性,此与感染控制措施和监测力度有关。Objective To investigate the infection status of Methicillin-resistant Staphylococcus aureus in a hospital inpa-tients,so as to formulate targeted prevention and control measures. Methods Bacterial isolation and identification technolo-gy was used to detect pathogenic specimens from inpatients,and analyze the epidemic trend of MRSA infection. Results 402 strains of MRSA among 1990 strains of Staphylococcus aureus（ SA） were isolated from clinical specimens. MRSA detec-tion rate was 20. 20%,which showing a decline after the recovery of the development trend. Strains of MRSA were mainly i-solated from wound secretions,sputum,and pus specimens. Infected patients mainly distributed in burn and plastic surgery ward,dermatology ward and the Department of traditional Chinese medicine. Conclusion The main sites of MRSA infection were wound and respiratory tract in the hospital inpatients. Infection rate showed no regularity and related to infection control measures and monitoring.

关 键 词：耐甲氧西林金黄色葡萄球菌 医院感染 发展趋势 控制措施 

分 类 号：R378[医药卫生—病原生物学]