CAJ | 학술논문

目的：分析多重耐药菌在临床的分布特征，探讨降低医院多重耐药菌发生率的护理防控措施。方法分析2010年7月-2013年6月9376例多重耐药菌的临床分布特征，制定预防和控制多重耐药菌感染的综合护理干预措施，避免患者间交叉感染。结果神经外科（包括神经外科监护室）分离到的多重耐药菌最多，为1640例，占全部多重耐药菌患者的17．5％；其次为神经内科和重症监护室，分别为1507例（16．1％）和1493例（15．9％）。9376例中，以金黄色葡萄球菌耐药最常见，为1930例（20．6％），其后依次为大肠埃希菌1635例（17．4％）、鲍曼不动杆菌1607例（17．1％）、肺炎克雷伯菌1504例（16．0％）、铜绿假单胞菌1103例（11．8％）。结论完善护理的标准作业程序，充分发挥护理感控网络对护理人员的监督管理，重视对护理人员的预警，是预防和控制多重耐药菌的关键。
목적：분석다중내약균재림상적분포특정，탐토강저의원다중내약균발생솔적호리방공조시。방법분석2010년7월-2013년6월9376례다중내약균적림상분포특정，제정예방화공제다중내약균감염적종합호리간예조시，피면환자간교차감염。결과신경외과（포괄신경외과감호실）분리도적다중내약균최다，위1640례，점전부다중내약균환자적17．5％；기차위신경내과화중증감호실，분별위1507례（16．1％）화1493례（15．9％）。9376례중，이금황색포도구균내약최상견，위1930례（20．6％），기후의차위대장애희균1635례（17．4％）、포만불동간균1607례（17．1％）、폐염극뢰백균1504례（16．0％）、동록가단포균1103례（11．8％）。결론완선호리적표준작업정서，충분발휘호리감공망락대호리인원적감독관리，중시대호리인원적예경，시예방화공제다중내약균적관건。
Objective To analyze the clinical distribution and incidence of multi-drug resistant bacteria infection and to investigate prevention and control measures .Methods During July 2010 to June 2013 , the clinical distribution characteristics of 9 376 cases of multi-drug resistant bacteria infection were analyzed .Then the prevention and control nursing interventions were taken .Results The department of neurosurgery ( include neuro-ICU) had highest incidence of multi-drug resistant bacteria infection, with 1 640 cases (17.5%).Then, the department of neurology and ICU had 1 507 cases (16.1%) and 1 493 cases (15.9%) of multi-drug resistant bacteria infection.Within the 9 376 cases, the most frequent bacteria was staphylococcus aureus , with 1 930 cases (20.6%);the escherichia coli was in the second place with 1 635 cases (17.4%);the baumanii was 1 607 cases (17.1%);the klebsiella pneumonia was 1 504 cases (16.0%);the pseudomonas aeruginosa was 1 103 cases (11.8%).Conclusions The key to prevent and control the multi-drug resistant bacteria infection is to improve the care interventions , develop the supervise and management of the infection control network, increase the degree of importance and emphasize the early warning system .