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关于耳鼻喉科领域感染中的MRSA,内兰等认为1989年时,MRSA占全医院的金黄色葡萄球菌的49%,而在耳鼻喉科仅有16%,明显少于其它各科。但是进入1990年,耳鼻喉科的MRSA也在增加,与其它各科的差距已经消失。耳鼻喉科领域的MRSA的特征是:①鼻前庭内存在MSSA和MRSA,系经由患者及医务人员的手而传染;②鼻腔及咽部是细菌从外界侵人呼吸系统的门户,给下呼吸道感染带来很大影响;③若患者抗感染力很强,又不是深部感染,类似中耳炎的表层感染即使由MRSA引起也无须担心等。本文拟以顺天堂浦安病院耳鼻喉科治疗过的MRSA病例为基础进行了探讨。一、鼻、鼻窦中的MRSA 鼻前庭是鼻腔的入口,存在于这里的金葡菌将附着于患者及医务人员的手指,经鼻插管而散布至下呼
For MRSA in ENT infections, Neland et al. (1989) consider that MRSA accounted for 49% of hospital-wide S. aureus in 1989, compared with only 16% in otolaryngology, which was significantly less than in other departments. However, in 1990, the number of otolaryngology MRSA was also increasing, and the gap with other disciplines disappeared. The features of MRSA in otolaryngology are: ① MSSA and MRSA exist in the nasal vestibule and are transmitted by the hands of patients and medical staff; ② The nasal cavity and pharynx are the germs that invade the respiratory system from the outside to the lower respiratory tract Bring a great impact; ③ If the patient is strong anti-infective, not deep infection, similar to otitis media surface infection even if caused by MRSA do not have to worry about. This article is intended to Shun Paradise Pu’an otolaryngology treatment of MRSA cases were discussed. First, nasal and nasal sinus MRSA Nasal vestibule is the entrance to the presence of Staphylococcus aureus will be attached to the patient and medical staff fingers, nasal cannula and spread to the next call