某三甲肿瘤专科医院2018年——2021年多重耐药菌监测分析  

Monitoring and analysis of multi-drug-resistant bacteria in a third-class cancer hospital from 2018 to 2021

作　　者：马平平[1] 金小洁[1] 陈蕾[1] MA Ping-ping;JIN Xiao-jie;CHEN Lei(Nantong Tumor Hospital,Affiliated Tumor Hospital of Nantong University,Nantong,Jiangsu 226361,China)

机构地区：[1]南通市肿瘤医院南通大学附属肿瘤医院,江苏南通226361

出　　处：《中国卫生检验杂志》2022年第15期1883-1886,共4页Chinese Journal of Health Laboratory Technology

基　　金：2020年度南通市市级科技计划(指导性)项目(MSZ20-165)。

摘　　要：目的 通过分析2018年1月—2021年12月某肿瘤专科医院5类重点监测的多重耐药菌(MDRO)检出情况、临床分布,为预防控制MDRO感染提供有效依据。方法 利用杏林医院感染实时监控系统收集临床科室多重耐药菌监测数据,并进行汇总分析。结果 2018年—2021年共检出5类病原菌株3 501株,重点监测的5类MDRO 368株,检出率为10.5%,其中MRSA 111株(43.9%)、CRPA 99株(17.8%)、CRAB 31株(14.5%)、CRE 112株(5.3%)、VRE 15株(4.2%)。MRSA检出率最高,2020年更高达68.8%,CRPA检出率近2年下降幅度大。标本来源依次是痰液、尿液、引流液,MDRO检出数量靠前的科室是ICU和呼吸内科,ICU是CRPA、CRAB构成比最高的科室,呼吸内科MRSA、CRE构成比最高。结论 肿瘤专科医院MDRO的分布有自身特点,要重视并加强对5类MDRO的监控,做好感染控制,通过多学科协作减少MDRO的感染和传播。Objective To provide insight to better prevent and control multiple drug-resistant bacteria(MDRO) infection,we have analyzed the detection and clinical distribution of 5 key MDROs from January 2018 to December 2021.Methods The real-time monitoring system of nosocomial infection in Xinglin Hospital was applied to collect and analyze the data of these MDROs.Results From 2018 to 2021,a total of 3 501 strains in 5 types were detected,of which 368 MDROs strains were mainly monitored,with a detection rate of 10.5%.Among them,MRSA counts for 111(43.9%),CRPA counts for 99(17.8%),CRAB counts for 31(14.5%),CRE counts for 112(5.3%) and VRE counts for 15(4.2%).MRSA has the highest detection rate,the detection rate is up to 68.8% in 2020,and the CRPA detection rate has declined significantly in the past two years.The sources of MDROs specimens are sputum,urine,and drainage fluid.The departments with the largest amount of detection were ICU and respiratory medicine.ICU is the department with the highest proportion of CRPA and CRAB,while respiratory medicine is the department with the highest proportion of MRSA and CRE.Conclusion The distribution of MDRO in cancer hospitals has its own characteristics,the monitoring of 5 types of MDROs should be strengthened,and the prevention and control of MRSA should be emphasized.Multidisciplinary cooperation should be adopted to reduce the infection and transmission of MDRO.

关 键 词：多重耐药菌 肿瘤专科医院 监测 

分 类 号：R446[医药卫生—诊断学]