医院多重耐药菌目标监测报告

REPORT ON PROSPECTIVE SURVEILLANCE OF MULTI-DRUG RESISTANT BACTERIAL IN HOSPITAL

目的了解医院多重耐药菌感染情况,建立干预措施,防控耐药菌在医院内传播。方法通过目标性监测和细菌检测方法,对住院患者标本进行检测和耐药菌分析。结果在2010年5-12月,从本医院住院病人标本中检出多重耐药菌225株,其中有141株分离自医院感染病人的标本,占62.7%。检出的多重耐药菌以革兰阴性杆菌为主,占检出总数的88%。院内感染多重耐药菌检出科室主要是呼吸内科、重症监护室和脑外科。结论该医院患者标本多重耐药菌检出率较高,其中多数来自医院感染患者标本,提示应加强临床抗菌药物应用管理。

Objective To know multiple drug-resistant infection in hospitals and implement the interventions to prevent spread of drug-resistant bacteria in hospitals.Methods Prospective surveillance and bacterial detection were used to analyze all hospitalized patients in the multi-drug resistant.Results From May 2010 to Dec 2010,225 cases of multiple drug-resistant were detected from specimens of hospital in-patients,including 141 cases（62.7%） of nosocomial infection,and the main was Gram negative bacteria（88%）.The mainly departments of multi-drug resistant nosocomial infections include the respiratory medicine department,intensive care unit and neurosurgery.Conclusion The detection rate of multiple drug-resistant bacteria was high in our hospital and the majority of specimens was from patients with nosocomial infection.It should prompt management to the clinical application of antibacterial drugs.