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目的了解多重耐药菌在某中医医院临床分布情况,为制定医院感染控制措施提供参考。方法采用回顾性调查方法,对某大型综合性中医院住院患者感染多重耐药菌情况进行调查。结果从228例感染患者送检的234份标本中分离到多重耐药菌275株,以分泌物标本中多重耐药菌分离率最高,构成比为41.03%;其次为痰液和尿液,构成比分别为27.78%和25.21%。多重耐药菌主要为大肠埃希菌,构成比为26.91%,其次是鲍曼不动杆菌,构成比为16.73%。多重耐药菌感染者的科室分布以骨科最多,其次为脑病科。结论该中医院多重耐药菌主要分离自分泌物标本,患者相对集中在骨科和脑病科。
Objective To understand the clinical distribution of multidrug-resistant bacteria in a Chinese medicine hospital and provide a reference for the development of nosocomial infection control measures. Methods A retrospective investigation was conducted to investigate the multi-drug resistant bacteria in hospital patients in a large comprehensive Chinese medicine hospital. Results A total of 275 multi-drug resistant strains were isolated from 234 samples collected from 228 infected patients. The isolation rate of multidrug-resistant bacteria was the highest among secretions (41.03%), followed by sputum and urine Compared with 27.78% and 25.21% respectively. Multidrug-resistant bacteria were mainly Escherichia coli, the composition ratio was 26.91%, followed by Acinetobacter baumannii, the composition ratio was 16.73%. Department of multi-drug-resistant bacteria infected with orthopedic department distribution, followed by encephalopathy. Conclusion The multidrug-resistant bacteria in the Chinese medicine hospital are mainly isolated from secretions, and the patients are relatively concentrated in orthopedics and encephalopathy.