CAJ | 학술논문

目的：对重症监护病房颅脑外伤患者多重耐药鲍曼不动杆菌暴发的原因分析及防控进行研究。方法选取2013‐08—09重症监护室内颅脑损伤颅脑外伤患者200例，其中8月患者100例给予常规干预措施（对照组）；9月患者100例（观察组），实施病房鲍曼不动杆菌暴发预防干预措施，对比2组爆发多重耐药鲍曼不动杆菌情况。结果对照组鲍曼不动杆菌感染率30.00％，观察组为5.00％，对照组明显高于观察组（P ＜0.05）；导致暴发感染的因素为重症监护室内的空气污染、室内设备仪器污染、广谱抗生素的应用，在进行血液培养结果显示同环境中分离的鲍曼不动杆菌药敏试验结果耐药谱相似。结论环境、人员、设备、医疗原因等均会引起重症监护室内病房多重耐药鲍曼不动杆菌的发生，采用针对性的干预措施可有效控制和降低病房鲍曼不动杆菌发病比例。
목적：대중증감호병방로뇌외상환자다중내약포만불동간균폭발적원인분석급방공진행연구。방법선취2013‐08—09중증감호실내로뇌손상로뇌외상환자200례，기중8월환자100례급여상규간예조시（대조조）；9월환자100례（관찰조），실시병방포만불동간균폭발예방간예조시，대비2조폭발다중내약포만불동간균정황。결과대조조포만불동간균감염솔30.00％，관찰조위5.00％，대조조명현고우관찰조（P ＜0.05）；도치폭발감염적인소위중증감호실내적공기오염、실내설비의기오염、엄보항생소적응용，재진행혈액배양결과현시동배경중분리적포만불동간균약민시험결과내약보상사。결론배경、인원、설비、의료원인등균회인기중증감호실내병방다중내약포만불동간균적발생，채용침대성적간예조시가유효공제화강저병방포만불동간균발병비례。
Objective To study the control and cause of multidrug‐resistant Acinetobacter baumannii outbreaks in ICU pa‐tient of traumatic brain injury. Methods 200 ICU patients with traumatic brain injury from August 2013 to September 2013 were selected ,100 patients in August (control group) were intervened conventionally ;100 patients in September (trail group) were intervened for ward Acinetobacter baumannii outbreak prevention ,the outbreak of multi‐drug resistant Acinetobacter bau‐mannii was compared between the two groups. Results Multidrug‐resistant Acinetobacter baumannii infection rate of control group was 30.00% ,which was 5.0% in trail group ,control group was significantly higher than trail group(P< 0.05) ;indoor air pollution ,indoor pollution equipment and instruments were risk factors of multidrug‐resistant Acinetobacter baumannii , broad‐spectrum antibiotics ,sputum culture results showed that during the same environment isolated Acinetobacter baumannii resistance patterns similar susceptibility test results. Conclusion Environment ,personnel ,equipment ,medical reasons ,and this will lead to intensive care unit multidrug‐resistant Acinetobacter baumannii occurred ,using targeted interventions can ef‐fectively control and reduce the incidence of Acinetobacter baumannii ward proportion.