[1]尚秀娟,吴玉芳,安立红,等.多重耐药菌医院感染情况的调查[J].西部中医药,2016,29(02):89-91.
　SHANG Xiujuan,WU Yufang,AN Lihong,et al.Investigation of Nosocomial Infection Conditions of Multiple Resistant Bacteria[J].Western Journal of Traditional Chinese Medicine,2016,29(02):89-91.
点击复制

多重耐药菌医院感染情况的调查()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
29
期数:
2016年02期
页码:
89-91
栏目:
出版日期:
2016-02-15

文章信息/Info

Title:
Investigation of Nosocomial Infection Conditions of Multiple Resistant Bacteria
文章编号:
1004-6852(2016)02-0089-03
作者:
尚秀娟，吴玉芳，安立红，程爱斌，董爱英
河北联合大学附属医院，河北 唐山 063000
Author(s):
SHANG Xiujuan, WU Yufang, AN Lihong, CHENG Aibin, DONG Aiying
Hebei United University Affiliated Hospital, Tangshan 063000, China
关键词:
医院感染; 多重耐药菌; 分布; 调查
Keywords:
nosocomial infection;  multiple resistant bacteria;  distribution;  investigation
分类号:
R378
文献标志码:
A
摘要:
目的：分析医院感染多重耐药菌的种类及分布，为临床合理用药和控制医院感染提供依据。方法：采用美国BD公司phoenix-100型全自动细菌分析仪细菌鉴定，同时用Whonct5软件对分离到的多重耐药菌进行分析。结果：2014年1～6月份分离多重耐药菌共计955株，检出数量最多的为多重耐药鲍曼不动杆菌411株、占43.04%，其次为多重耐药铜绿假单胞菌289株、占30.26%，产碳青霉烯酶的肠杆菌科细菌(CRE)171株、占17.91%，耐甲氧西林金黄色葡萄球菌(MRSA)84株、占8.79%；主要分布的科室为ICU 484株、占50.68%，神经重症病房249株、占26.07%，神经外科108株、占11.31%。4种多重耐药菌主要分离自痰标本，依次为多重耐药鲍曼不动杆菌392株(41.05%)、多重耐药铜绿假单胞菌278株(29.11%)、产碳青霉烯酶的肠杆菌科细菌138株(14.45%)及耐甲氧西林金黄色葡萄球菌53株(5.55%)。结论：多重耐药菌主要来自医院呼吸道感染，提示应加强对高危科室及易感人群的监控，有效遏制多重耐药菌的感染和传播。
Abstract:
Objective: To provide the reference for rational use of the medicine and controlling nosocomial infection in clinic by analyzing the distribution and the sorts of multiple resistant bacteria (MDR). Methods: The bacteria were identified by phoenix-100 type automatic bacteria analyzer from American BD Company, and MDR was analyzed by Whonct5 software at the same time. Results: All 955 strains of MDRs were separated from January to June of 2014, most of MDRs were baumanii and there were 411 strains detected, they occupied 43.04%; 289 strains of Pseudomonas aeruginosa (PA) were the next, and they held 30.26%; 171 strains of carbapenemase-resistant enterobacteriaceae (CRE) and 17.91%; 84 strains of methicillin-resistant staphylococcus aureus (MRSA) and 8.79%; 484 strains distributed in ICU mainly, and 50.68%; 249 strains in severe neurology department and 26.07%; 108 strains in neurosurgery department and 11.31%. Four kinds of MDRs were mainly separated from the sputum, they were 392 strains of baumanii (41.05%), 278 strains of PA (29.11%), 138 strains of CRE (14.45%) and 53 strains of MRSA (5.55%). Conclusion: MDR is mainly from hospital respiratory tract infection, which suggests that the monitoring of high risk department and vulnerable populations should be enhanced, the infection and spread of MDR could be effectively controlled.

相似文献/References:

[1]李明霞,李春梅.妇科院感品管圈活动对提升医护人员感染质控意识的作用[J].西部中医药,2013,26(03):45.
　LI Mingxia,LI Chunmei.Function of Quality Control Circle to Improve Medical Staff's Sense of Quality Control for Infection in Gynecological epartment[J].Western Journal of Traditional Chinese Medicine,2013,26(02):45.
[2]程麦莉,周毓萍,石丽丽,等.西北地区某三甲中医院感染现患率调查分析[J].西部中医药,2013,26(03):69.
　CHENG Maili,ZHOU Yuping,SHI Lili,et al.Survey on Infection Prevalence Rate of A Three As TCM Hospital in Northwest Area[J].Western Journal of Traditional Chinese Medicine,2013,26(02):69.
[3]张永玲,张永红△.民族地区三级医院医院感染现患率调查分析[J].西部中医药,2013,26(04):65.
　ZHANG Yongling,ZHANG Yonghong.On Prevalence Rate of Nosocomial Infection at Tertiary Hospital in Minority Area[J].Western Journal of Traditional Chinese Medicine,2013,26(02):65.
[4]宋光芬.浅谈针灸治疗中存在的医院感染问题及对策[J].西部中医药,2015,28(03):73.
[5]权金林,毛 莉,程麦莉,等.某三甲医院手卫生依从性暗访调查与分析[J].西部中医药,2015,28(04):82.
[6]薛世萍,马忠祥△,程麦莉.浅析中医院中医诊疗过程中的医院感染管理[J].西部中医药,2015,28(11):60.
[7]谢丽宇.消毒供应室清洗质量的控制及管理[J].西部中医药,2013,26(06):33.
　XIE Liyu.Quality Control and Management of Disinfection Room[J].Western Journal of Traditional Chinese Medicine,2013,26(02):33.
[8]梁勤,乔登嫣△,马小明,等.甘肃道地中药大黄、黄芩对多重耐药菌的抑菌活性[J].西部中医药,2014,27(05):5.
　LIANG Qin,QIAO Dengyan,MA Xiaoming,et al.Antibacterial Activity of Gansu Genuine Herbs DaHuang and HuangQin on Multiple Resistant Bacteria[J].Western Journal of Traditional Chinese Medicine,2014,27(02):5.
[9]薛世萍,程麦莉,石丽丽.医院感染与护理管理探讨[J].西部中医药,2018,31(01):54.
　XUE Shiping,CHENG Maili,SHI Lili.Discussion on Hospital Infection and Nursing Management[J].Western Journal of Traditional Chinese Medicine,2018,31(02):54.
[10]杨玉翠,石丽丽,程麦莉,等.某三甲中医院近2年医院感染横断面调查结果对比研究[J].西部中医药,2017,30(03):86.
　YANG Yucui,SHI Lili,CHENG Maili,et al.Comparative Study of Nosocomial Infection Cross-sectional Study Results of a Three-grade Hospital of Traditional Chinese Medicine in Recent Two Years[J].Western Journal of Traditional Chinese Medicine,2017,30(02):86.
[11]王莉,唐春莲,杨冬梅△.脑卒中患者多重耐药菌感染调查与护理干预[J].西部中医药,2014,27(11):138.

备注/Memo

备注/Memo:
作者简介：尚秀娟(1966—)，女，硕士学位，副主任护师。研究方向：医院管理。
更新日期/Last Update: 2016-02-15