中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1553-1554,1557
,共3页
多药耐药菌%监控%管理
多藥耐藥菌%鑑控%管理
다약내약균%감공%관리
Multi-resistant bacteria%Monitoring%Management
目的：分析多药耐药菌感染的菌群分布和耐药性，对易感因素制定有效措施，预防医院感染扩散。方法随机选取2010年6月－2013年6月260例感染住院患者送检标本进行相关检测分析，根据检验报告合理制定临床科室抗菌药物的使用方法，督促执行具体措施的应用，采用K‐B琼脂扩散方法进行药敏试验，数据采用SPSS17．0软件进行统计分析。结果260例患者送检标本共分离出多药耐药菌260株，其中以 M RS A为主，共115株占44．2％；主要感染部位为下呼吸道，共173例占为66．5％；医院多药耐药菌感染患者主要分布在IC U、急诊科、老年病科三类科室，另外神经内科和呼吸科患者感染率也相对较高。结论对多药耐药菌感染加强管理，且制定有效预防控制措施与制度，提高对感染控制的管理和执行力可以有效预防医院感染扩散，值得医疗推广。
目的：分析多藥耐藥菌感染的菌群分佈和耐藥性，對易感因素製定有效措施，預防醫院感染擴散。方法隨機選取2010年6月－2013年6月260例感染住院患者送檢標本進行相關檢測分析，根據檢驗報告閤理製定臨床科室抗菌藥物的使用方法，督促執行具體措施的應用，採用K‐B瓊脂擴散方法進行藥敏試驗，數據採用SPSS17．0軟件進行統計分析。結果260例患者送檢標本共分離齣多藥耐藥菌260株，其中以 M RS A為主，共115株佔44．2％；主要感染部位為下呼吸道，共173例佔為66．5％；醫院多藥耐藥菌感染患者主要分佈在IC U、急診科、老年病科三類科室，另外神經內科和呼吸科患者感染率也相對較高。結論對多藥耐藥菌感染加彊管理，且製定有效預防控製措施與製度，提高對感染控製的管理和執行力可以有效預防醫院感染擴散，值得醫療推廣。
목적：분석다약내약균감염적균군분포화내약성，대역감인소제정유효조시，예방의원감염확산。방법수궤선취2010년6월－2013년6월260례감염주원환자송검표본진행상관검측분석，근거검험보고합리제정림상과실항균약물적사용방법，독촉집행구체조시적응용，채용K‐B경지확산방법진행약민시험，수거채용SPSS17．0연건진행통계분석。결과260례환자송검표본공분리출다약내약균260주，기중이 M RS A위주，공115주점44．2％；주요감염부위위하호흡도，공173례점위66．5％；의원다약내약균감염환자주요분포재IC U、급진과、노년병과삼류과실，령외신경내과화호흡과환자감염솔야상대교고。결론대다약내약균감염가강관리，차제정유효예방공제조시여제도，제고대감염공제적관리화집행력가이유효예방의원감염확산，치득의료추엄。
OBJECTIVE To analyze the distribution and drug‐resistant bacteria in patients with multi‐drug resistant infections for the development of effective measures on risk factors ,prevention and control of hospital infection spread .METHODS From June 2010 to June 2013 ,260 hospitalized patients infected specimens were randomly se‐lected and analyzed .A reasonable use of antimicrobial drugs in clinical departments was developed according to the inspection report ,urging the implementation of specific measures for the application .RESULTS 260 multi‐drug re‐sistant isolates were recovered from specimens ,which were 115 MRSA ,pan resistant Acinetobacter baumann 86 , PDRPA 56 ,and vancomycin resistant Suenterococci 3 .The main sites of infections in patients were lower respira‐tory tract in 173 cases ,accounting for 66 .5% ,followed by urinary tract infections ,43 cases (16 .5% ) ,18 cases of infections through blood ,accounting for 6 .9% .After the analysis itwas found that hospital patients with multi‐drug resistant infections mainly were in the ICU intensive care unit ,emergency department ,the department of geriatrics , in addition the department of neurology and respiratory were relatively high . CONCLUSION Strengthening the management of multi‐drug resistant infections and the development of effective prevention and control measures to improve the management and implementation of infection control can effectively prevent noso‐comial spread of infections ,it is worth to be promoted .
