烧伤监护病房耐甲氧西林金黄色葡萄球菌感染调查

Investigation of MRSA Infection in Burn Care Unit

目的 分析烧伤病房耐甲氧西林金黄色葡萄球菌（MRSA）感染的原因，提出有效的预防与控制措施，进一步加强医院感染管理。方法对2008年6月～2008年11月入住患者，发生耐甲氧西林金黄色葡萄球菌感染进行前瞻性调查分析。结果5例患者发生皮肤医院感染，培养结果为不同株MRSA感染；医护人员手、鼻腔培养出与患者同株MRSA。结论烧伤科病人皮肤暴露，患者病情危重、免疫低下、抗菌药物使用复杂且量大、耐药率高等都是导致医院感染的危险因素，所以提高医护人员医院感染控制理念，规范诊疗操作行为，树立合理使用抗菌药物观念，是降低MRSA感染的关键环节。

Objective To analyze the reason of methiciUin - resistant Staphylococcus aurens （MRSA） infection in burn care unit （ BCU ） so as to put forward the effective prevention and control measures, and to further strengthen the management of nosocomial infection. Methods A prospective investigation was made to cases with MRSA infection hospitalized from June, 2008 to November, 2008. Results 5 cases had skin MRSA infections of different strains while the same strains of MRSA were cultured out from hands and nasal cavities of the medical staff. Conclusions Skin exposure, severe condition, poor immunity, complex application of antibiotics in large dosage and high drug - resistance rate of the patients with burns are the risk factors leading to nosocomial infection; the key measures to decrease MRSA infection are to promote the understanding of medical staff for nosocomial infection, to standardize the medical performance and to make reasonable application of antibiotics.