住院患者多重耐药菌感染情况与防控探讨  

Analysis on the infection of multiple drug-resistant bacteria in hospitalized patients and exploration on prevention and control

作　　者：陈文才[1] 吴红丽[1] 何耀琴[1] 刘伟芬[1] 万玉英 

机构地区：[1]南昌大学第二附属医院,江西南昌330008

出　　处：《中国消毒学杂志》2017年第4期348-349,352,共3页Chinese Journal of Disinfection

摘　　要：目的了解某医院多重耐药菌分布情况,提出感染管理与预防控制措施。方法通过目标性监测和病原菌分离鉴定技术,对住院患者感染多重耐药菌情况进行分析。结果该医院2015年度从住院感染患者送检病原学标本中共检出多重耐药菌378株,以多重耐药鲍曼不动杆菌、金黄色葡萄球菌、肺炎克雷伯菌、铜绿假单胞菌和阴沟肠杆菌分居前5位。多重耐药菌主要分离自痰液、伤口分泌物、脓液和血液,构成比分别为60.85%、9.79%、8.73%和6.88%。多重耐药菌感染患者主要来自各类重症监护病房,占分离总菌株数的52.65%。结论该医院临床分离多重耐药菌以革兰阴性菌为主,呼吸道感染居首。应重点关注各科室重症监护病房。Objective To understand the distribution of MDROs in a hospital,and put forward measures of infection management and prevention and control.Methods Target surveillance and pathogen isolation and identification techniques were used to analysis the status of MDROs in hospitalized patients.Results A total of 378 MDROs strains were detected from pathogen specimens of the hospital in 2015,the first five MDROs were Acinetobacter baumannii,Staphylococcus aureus,Klebsiella pneumoniae,Pseudomonas aeruginosa and Pseudomonas aeruginosa Enterobacter cloacae respectively.MDROs were mainly separated from sputum,wound secretions,pus and blood,and composition ratio were 60.85%,9.79%,8.73% and 6.88% respectively.MDROs infections were mainly from all types of intensive care units,accounting for 52.65% of the total number.Conclusion MDROs of the clinical isolates were mainly Gram-negative bacterias,the first was respiratory tract infection.Thus,more attention should be pay on intensive care unit of various departments.

关 键 词：多重耐药菌 医院感染 目标性监测 

分 类 号：R378[医药卫生—病原生物学]