CAJ | 학술논문

目的：观察耳鼻喉科科患者感染多药耐药菌的分布特征以及影响因素，为临床感染的控制提供相关的依据。方法选取2011年3月－2013年5月耳鼻喉科收治的感染性疾病患者共125例，回顾性分析其感染多药耐药菌的例次率，通过医院感染的统计分析对耐药菌株种类和特征及检出率进行统计，采用SPSS19．0进行统计处理。结果耳鼻喉科患者医院感染多药耐药菌主要以革兰阴性菌为主，占66．67％，革兰阳性菌占33．33％，同时多发生于头颈部恶性肿瘤围手术期，感染前抗菌药物使用时间＜7d者较使用时间＞7d者检出率低，对比差异有统计学意义（P＜0．05）。结论在耳鼻喉科感染疾病患者的预防和控制过程中，要对其感染多药耐药菌的种类和耐药性进行检测与分析，加强对标本的培养检查和药敏试验，从而在临床上更加合理的使用抗菌药物，降低耳鼻喉科多药耐药菌感染率。
목적：관찰이비후과과환자감염다약내약균적분포특정이급영향인소，위림상감염적공제제공상관적의거。방법선취2011년3월－2013년5월이비후과수치적감염성질병환자공125례，회고성분석기감염다약내약균적례차솔，통과의원감염적통계분석대내약균주충류화특정급검출솔진행통계，채용SPSS19．0진행통계처리。결과이비후과환자의원감염다약내약균주요이혁란음성균위주，점66．67％，혁란양성균점33．33％，동시다발생우두경부악성종류위수술기，감염전항균약물사용시간＜7d자교사용시간＞7d자검출솔저，대비차이유통계학의의（P＜0．05）。결론재이비후과감염질병환자적예방화공제과정중，요대기감염다약내약균적충류화내약성진행검측여분석，가강대표본적배양검사화약민시험，종이재림상상경가합리적사용항균약물，강저이비후과다약내약균감염솔。
OBJECTIVE To observe the distribution of multi‐drug resistant bacteria in otorhinolaryngological patients and the influencing factors of infections ,so as to provide the basis for the control of clinical infections . METHODS A total of 125 cases of patients with infectious disease from Mar .2011 to May 2013 in the otorhinolar‐yngological department were selected ,and their case‐time medical data of multi‐drug resistant bacterial infections were retrospectively analyzed .The resistant bacteria detection rate ,the types and characteristics were summarized through the statistical analysis of nosocomial infections .The software SPSS19 .0 was used for statistical analysis . RESULTS The main multi‐drug resistant bacteria were gram‐negative bacteria accounting for 66 .67% and gram‐positive bacteria accounting for 33 .33% ,and mostly occurred in the operation period of head and neck malignant tumor .The detective rate was signifiontly lower in patients with antibiotic usage time <7 d before infections than in those with antibiotic usage time >7d (P<0 .05) .CONCLUSION In the prevention and control of infections in otorhinolaryngological patients ,clinicians should detect and analyze the types and drug resistance of multi‐drug re‐sistant bacteria ,strengthen the cultivation and inspection of specimens and drug sensitivity test ,so as to clinically use antibiotics more reasonably and reduce the incidence of otorhinolaryngological multi‐drug resistant bacterial in‐fections .