CAJ | 학술논문

目的：了解我院多重耐药菌的分布和流行情况，为控制和预防提供依据。方法：采用Whonet 5.6软件对我院2014年临床分离的675株多重耐药菌的分布和耐药谱进行分析。结果：耐碳青霉烯鲍曼不动杆菌（CR-AB）耐药谱型1（89株）和耐甲氧西林金黄色葡萄球菌（MRSA）两个耐药谱型（15株）存在流行趋势，主要分布在ICU、神经科和呼吸科，标本主要来源于痰。结论：我院应加强对CR-AB和MRSA的监测管理，除了实施常规的隔离防护措施以外，要特别加强对呼吸机插管类的使用管理。
목적：료해아원다중내약균적분포화류행정황，위공제화예방제공의거。방법：채용Whonet 5.6연건대아원2014년림상분리적675주다중내약균적분포화내약보진행분석。결과：내탄청매희포만불동간균（CR-AB）내약보형1（89주）화내갑양서림금황색포도구균（MRSA）량개내약보형（15주）존재류행추세，주요분포재ICU、신경과화호흡과，표본주요래원우담。결론：아원응가강대CR-AB화MRSA적감측관리，제료실시상규적격리방호조시이외，요특별가강대호흡궤삽관류적사용관리。
Objective: To understand the distribution and prevalence of the multiple resistant bacteria in our hospital and to provide an evidence for the control and prevention of multiple resistant bacteria . Methods: The dis-tribution and drug-resistant spectrum of 675 strains of multi-drug resistant bacteria isolated from our hospital in 2014 were analyzed by Whonet 5 . 6 . Results: There were two kinds of bacteria in the epidemic trend , one was the re-sistant spectrum type 1 ( 89 strains ) of carbapenem-resistant Acinetobacter baumannii ( CR-AB ) , and the other was two kinds of drug resistance spectrum ( 15 strains ) of methicillin-resistant Staphylococcus aureus ( MRSA ) , which mainly distributed in ICU , neurology and respiratory departments , and the main source of the specimen was spu-tum . Conclusion: The monitoring and management of MRSA and CR-AB should be strengthened . In addition to the implementation of conventional isolation and protection measures , and special attention should be paid to the use and management of medical devices such as ventilator incubation .