临床重要耐药菌感染传播防控策略专家共识  

Expert consensus on strategies for the prevention and control of spread of clinically important antimicrobial-resistant organisms

作　　者：杨启文[1] 吴安华[2] 胡必杰 李六亿[4] 刘运喜[5] 孙自镛[6] 吕晓菊[7] 施毅 卓超[9] 郑波[10] 宗志勇[7] 盛国平[11] 宁永忠 张嵘[13] 胡付品 陈中举 李福琴[15] 姜亦虹[16] 战榕[17] 孙树梅[18] 俞云松[19] 徐英春[1] YANG Qi-wen;WU An-hua;HU Bi-jie;LI Liu-yi;LIU Yun-xi;SUN Zi-yong;LYU Xiao-ju;SHI Yi;ZHUO Chao;ZHENG Bo;ZONG Zhi-yong;SHENG Guo-ping;NING Yong-zhong;ZHANG Rong;HU Fu-pin;CHEN Zhong-ju;LI Fu-qin;JIANG Yi-hong;ZHAN Rong;SUN Shu-mei;YU Yun-song;XU Ying-chun(Department of Clinical Laboratory,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Center for Healthcare -associated Infection Control, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Infectious Diseases, Fudan University Zhongshan Hospital, Shanghai 200032, China;Department of Infection Control, Peking University First Hospital, Beijing 100034, China;Department of Infection Control, Chinese PLA General Hospital, Beijing100039, China;Department of Clinical Laboratory, Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology, Wuhan 430030, China;Center for Infectious Diseases, West China Hospital of Sichuan University, Chengdu 610041, China;Department of Respiratory Diseases, General Hospital of Eastern Theater Command, PLA, Nanjing 210002, China;National Key Laboratory for Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120;Department of Infectious Diseases, Peking University First Hospital,Beijing 100034, China;State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Zhejiang University, Hangzhou 310003, China;Department of Clinical Laboratory, Beijing Chuiyangliu Hospital, Beijing 100022, China;Department of Clinical Laboratory, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China;Institute of Antibiotics, Huashan Hospital, Fudan University, Shanghai 200040, China;Department of Infection Control, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China;Department of Infection Control, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing 210008, China;Department of Hematology, Fujia

机构地区：[1]中国医学科学院北京协和医院检验科,北京100730 [2]中南大学湘雅医院医院感染控制中心,湖南长沙410008 [3]复旦大学附属中山医院感染病科,上海200032 [4]北京大学第一医院感染管理科,北京100034 [5]解放军总医院感染管理科,北京100039 [6]华中科技大学同济医学院附属同济医院检验科,湖北武汉430030 [7]四川大学华西医院感染性疾病中心,四川成都610041 [8]中国人民解放军东部战区总医院呼吸科,江苏南京210002 [9]广州医科大学附属第一医院呼吸疾病国家重点实验室,广东广州510120 [10]北京大学第一医院感染科,北京100034 [11]浙江大学传染病诊治国家重点实验室,浙江杭州310003 [12]北京市垂杨柳医院检验科,北京100022 [13]浙江大学医学院附属第二医院检验科,浙江杭州310009 [14]复旦大学附属华山医院抗生素研究所,上海200040 [15]郑州大学第一附属医院感染管理科,河南郑州450052 [16]南京大学医学院附属鼓楼医院感染管理科江苏省医院感染管理质控中心,江苏南京210008 [17]福建医科大学附属协和医院血液科,福建福州350001 [18]南方医科大学南方医院感染管理科,广东广州510515 [19]浙江大学医学院附属邵逸夫医院感染科,浙江杭州310020

出　　处：《中国感染控制杂志》2021年第1期1-14,共14页Chinese Journal of Infection Control

基　　金：国家重点研发计划“生物安全关键技术研发”重点专项(2018YFC1200100、2018YFC1200105)。

摘　　要：耐药菌的传播严重威胁人类健康,目前耐药问题日益加剧,给医疗卫生造成极大负担。加强耐药菌感染的预防、控制和诊疗能力建设是医疗机构防控耐药菌感染传播的重要内容。本共识分析当前临床重要耐药菌的流行病学、耐药机制及实验室检测现状,并提出耐药菌感染传播防控的专家推荐意见,旨在提高防控意识,规范临床重要耐药菌感染传播防控策略,明确防控流程。Transmission of antimicrobial-resistant organisms(AROs)is a serious threat to human health,currently,the problem of antimicrobial resistance is becoming more and more serious,causing a great burden on medical and health care.Strengthening the prevention,control,diagnosis and treatment of AROs infection is an important part of the prevention and control of AROs infection in medical institutions.This consensus analyzes the current situation of epidemiology,antimicrobial resistance mechanism and laboratory detection of clinically important AROs,and puts forward expert recommendations on the prevention and control of transmission of AROs infection,aiming to improve the awareness of prevention and control,standardize the prevention and control strategy of transmission of clinically important AROs infection,and clarify the prevention and control process.

关 键 词：耐药菌 多重耐药菌 流行病学 耐药机制 感染防控 耐药监测 医院感染 

分 类 号：R181.3+2[医药卫生—流行病学]