综合性医院多药耐药菌感染监测研究分析

Surveillance of Multidrug-resistant Bacteria Infection in General Hospitals:Research and Analysis

目的加强多药耐药菌感染管理,有效预防与控制医院感染在医院内的流行。方法对2008年7月-2009年7月住院患者的病原学检查阳性结果进行分类,将多药耐药菌进行统计分析。结果重症监护病房、神经外科多药耐药菌感染比较严重,分别占总感染数的20.5%、20.2%,感染部位以呼吸系统和泌尿系统为主,感染率分别为51.7%、16.4%,MRSA和ESBLs阳性肺炎克雷伯菌感染比较集中在重症科室,大肠埃希菌感染较为分散。结论强化医务人员对多药耐药菌医院感染控制工作的重视,合理应用抗菌药物,做好消毒隔离工作、真正落实手卫生,对降低医院感染率具有重要意义。

OBJECTIVE To improve the infection administration of multidrug-resistant bacteria to effectively prevent and control,the epidemic of hospital infectionl.METHODS The positive pathogenic investigation and multidrug resistant bacteria were classified.RESULTS The mulidrug-resitant infection was serious in ICU and neurosurgery department,accounted for 20.5% and 20.2% of total infection rate,respectively.The respiratory system and urinary system were the main infection sites,accounted for 51.7% and 16.4%.And the main pathogenic bacteria were the MRSA,ESBLs-producing Klebsiella pneumoniae and Escherichia coli.The two former always met in severe patients,and the latter was scattered.CONCLUSION The hospital infection administration of multidrug-resistant bacteriao must be paid more attention.It has important meaning for the decrease in hospital infection ratio that the antibiotic is reasonabley used,the work of disinfection and isolation is well done,and the hand hygiene is really implemented.