国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
18期
2272-2274
,共3页
多重耐药菌%目标性监测%易感因素
多重耐藥菌%目標性鑑測%易感因素
다중내약균%목표성감측%역감인소
Multidrug-resistance organisms%Prospective surveillance%Risk factors
目的 探讨多重耐药菌感染的流行特征和相关因素,为预防控制医院感染提供依据.方法 采用目标性监测方法对2008年10月至2009年10月检测出所有MRSA、VRE、产ESBLs的细菌和多重耐药的鲍曼不动杆菌菌株进行监测.结果 共监测多重耐药菌菌株213株,占全部送检菌株的34.30%,感染部位以下呼吸道为主,耐药菌株多为产ESBLs的细菌,综合ICU感染率最高,≥60岁、患有循环系统疾病、接受侵入性诊疗操作、手术、使用抗生素等是MDRO感染的高危因素.结论 多重耐药菌感染的危险因素众多,需采取综合措施才能有效预防和控制多重耐药菌感染.
目的 探討多重耐藥菌感染的流行特徵和相關因素,為預防控製醫院感染提供依據.方法 採用目標性鑑測方法對2008年10月至2009年10月檢測齣所有MRSA、VRE、產ESBLs的細菌和多重耐藥的鮑曼不動桿菌菌株進行鑑測.結果 共鑑測多重耐藥菌菌株213株,佔全部送檢菌株的34.30%,感染部位以下呼吸道為主,耐藥菌株多為產ESBLs的細菌,綜閤ICU感染率最高,≥60歲、患有循環繫統疾病、接受侵入性診療操作、手術、使用抗生素等是MDRO感染的高危因素.結論 多重耐藥菌感染的危險因素衆多,需採取綜閤措施纔能有效預防和控製多重耐藥菌感染.
목적 탐토다중내약균감염적류행특정화상관인소,위예방공제의원감염제공의거.방법 채용목표성감측방법대2008년10월지2009년10월검측출소유MRSA、VRE、산ESBLs적세균화다중내약적포만불동간균균주진행감측.결과 공감측다중내약균균주213주,점전부송검균주적34.30%,감염부위이하호흡도위주,내약균주다위산ESBLs적세균,종합ICU감염솔최고,≥60세、환유순배계통질병、접수침입성진료조작、수술、사용항생소등시MDRO감염적고위인소.결론 다중내약균감염적위험인소음다,수채취종합조시재능유효예방화공제다중내약균감염.
Objective To provide medical support for prevention and control of nosocomial infection by exploring the prevalence and risk factors of multidrug-resistance organism (MDRO) infection.Methods Prospective surveillance was conducted from October 2008 to October 2009 to monitor MRSA,VRE,or ESBLs-producing strains and Acinetobacter Baumannwere isolated. Results A total of 213 MDRO strains were detected,which were 34.30％ of all of the isolated strains. The lower respiratory tract was the main infection site and ESBLs-producing strains were the primary germs. MDRO infection occurred most frequently in ICU. Patients aged 60 or older,coexisting circulatory system diseases,use of mechanical ventilation,surgery,and antibiotic use were identified as the risk factors for MDRO infection. Conclusions Various risk factors are attributed to MDRO infection. Comprehensive measures have to be taken incidence of MDRO infection.
