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目的研究中医院住院患者多重耐药菌医院感染情况,采取有效控制措施。方法采用临床病原学标本检验和分析方法,对某中医院住院患者临床送检标本检测结果进行了调查与分析。结果该中医院在2011年度从住院病人送检的各类标本中共分离出多重耐药菌261株,其中耐甲氧西林金黄色葡萄球菌(MRSA)117株、泛耐药鲍曼不动杆菌87株、泛耐药铜绿假单胞菌55株、耐万古霉素肠球菌2株。标本主要来源于痰、血液、尿液。检出多重耐药菌病例前三位的科室分别是重症监护室(ICU)、急诊科和老年病房;感染部位以下呼吸道感染为主,其次是泌尿道感染。结论该医院住院患者感染多重耐药菌主要是MRSA,其次是鲍曼不动杆菌和铜绿假单胞菌,需加强对多药耐药菌的监控与感染管理。
Objective To study the prevalence of nosocomial infections in hospitalized patients with multiple drug-resistant bacteria in Chinese medicine hospitals and to take effective control measures. Methods The clinical etiological specimens test and analysis methods were used to investigate and analyze the clinical test results of hospitalized patients in a Chinese medicine hospital. Results The Chinese medicine hospital in the year 2011 from the inpatient samples of various types of specimens were isolated 261 strains of multi-drug resistant, including methicillin-resistant Staphylococcus aureus (MRSA) 117, Pan-resistant Acinetobacter baumannii 87 55 strains of pan-resistant Pseudomonas aeruginosa and 2 strains of vancomycin-resistant enterococci. Specimens come mainly from sputum, blood, urine. The first three cases of multidrug-resistant cases were ICUs, emergency departments and geriatric wards. Respiratory infections were the most common, followed by urinary tract infections. Conclusion In hospital patients with multi-drug resistant strains are mainly MRSA, followed by Acinetobacter baumannii and Pseudomonas aeruginosa. The surveillance and infection management of multidrug-resistant bacteria should be strengthened.