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目的探讨我院多重耐药菌的现状及医院感染的防控措施。方法 2014年全年对多重耐药菌感染的监测,统计病原菌标本种类、分布以及对抗生素耐药情况,鉴别感染多重耐药菌患者是获得性感染者还是医院感染者,分析导致多重耐药菌菌株产生原因并提出相应对策。结果感染多重耐药菌排前五位的菌株是:革兰氏阳性菌主要包括耐甲氧西林金黄色葡萄球菌、金黄色葡萄球菌;革兰氏阴性菌主要包括大肠埃希菌、鲍曼不动杆菌、肺炎克雷伯菌。结论严格按照要求合理应用抗生素,落实手卫生、做好消毒措施,加强多重耐药菌的监测能够有效预防多重耐药菌医院感染的发生。
Objective To investigate the status of multidrug-resistant bacteria in our hospital and the prevention and control measures of nosocomial infections. Methods Surveillance of multiple drug-resistant bacterial infections in 2014, statistical types and distribution of pathogenic bacteria specimens and antibiotic resistance, identification of patients with multi-drug resistant strains acquired acquired infections or nosocomial infections, analysis of multi-drug resistant bacteria The causes of the strains and put forward corresponding countermeasures. Results The top five strains of multi-drug resistant bacteria were: Gram-positive bacteria mainly include methicillin-resistant Staphylococcus aureus and Staphylococcus aureus; Gram-negative bacteria mainly include Escherichia coli, Acinetobacter, Klebsiella pneumoniae. Conclusion The rational use of antibiotics in accordance with the requirements, the implementation of hand hygiene, good disinfection measures, and strengthening the monitoring of multi-drug resistant bacteria can effectively prevent the emergence of multi-drug resistant bacteria in hospital.