论文部分内容阅读
目的通过对该地区医务人员、患者及其陪护的手和鼻前庭、医院环境携带耐甲氧西林葡萄球菌(MRSA)状况的调查及研究,及时发现MRSA的带菌状况及携带者,探讨带菌与发生感染之间的关系,隔断交叉感染的途径。方法对宝安区两家大医院的医护人员、陪护、患者的手及鼻前庭、医院病区环境进行随机采样培养,按《全国临床检验操作规程》第二版进行微生物培养鉴定,采用2004年Nccls规定Microscan-walkaway-40全自动分析仪(美国DADE)。结果从医务人员324份标本、陪护67份标本、患者118份标本、环境119份标本中分离出分别为44、14、21、6株,MRSA的检出率分别为47.73%(21株)、35.71%(5株)、23.81%(5株)、33.33%(2株)。结论医务人员、陪护、患者及环境均存在携带MRSA的状况,应提高医护人员对MRSA在院内引起交叉感染的认识,提高手卫生的依从性,严格执行无菌操作规程,加强陪护的管理及培训,积极做好环境卫生等基础工作对于降低MRSA的医院感染的发生,防止交叉感染是至关重要的。
Objective To investigate and carry out the investigation and study on the status of methicillin-resistant Staphylococcus aureus (MRSA) carried by the medical staffs, patients and their accompanying hands and the nasal vestibule and the hospital in the area and to find out the carrier status and carriers of MRSA in time, The relationship between infections, cut off the cross-infection approach. Methods The medical staffs, accompany-patients, patients’ hands, nasal vestibule and hospital ward environment of two large hospitals in Bao’an District were randomly sampled and cultured according to the “National Clinical Laboratory Procedures”, the second edition of microbial culture identification, using 2004 Nccls Microscan-walkaway-40 automatic analyzer (DADE, USA). Results The results showed that MRSA was detected in 47 samples (324 samples), 67 samples (67 samples) and 118 samples (119 samples) and 44 samples (14 samples, 14 samples, 21 samples, 35.71% (5 strains), 23.81% (5 strains) and 33.33% (2 strains). Conclusion The situation of carrying MRSA in medical staffs, escorts, patients and the environment should be improved. The medical staff should raise awareness of MRSA in the hospital and improve compliance of hand hygiene. Strict implementation of aseptic procedures should be strengthened to strengthen the management and training of accompanying care , And actively do the basic work such as environmental sanitation to reduce the incidence of nosocomial infections in MRSA, to prevent cross-infection is essential.