外科重症病房耐甲氧西林金黄色葡萄球菌(MRSA)分布及耐药情况的分析

Analysis of MRSA distribution and resistance in surgical intensive care unit

目的:分析近5年外科ICU中耐甲氧西林金黄色葡萄球菌(MRSA)分布及耐药情况的变化,指导院内感染的控制及治疗。方法:对外科ICU患者中1 217例次的阳性病原菌培养结果进行回顾性分析。结果:革兰阴性菌仍占全部检出菌株的主要部分,但MRSA有上升趋势,而且耐药情况日趋严重。结论:SICU医生应加强防控意识,更合理地应用抗生素,减少MRSA耐药,提高抢救成功率。

Objective In order to guide the hospital infection control and treatment,we analyzed the MRSA distribution and resistance in surgical ICU in the past 5 years. Method From January 2006 to December 2010,there were 1 217 eases with subculture positive pathogens were retrospectively analyzed in our department. Results Gram - negative bacteria enjoyed the main part, but MRSA displayed a rising trends. Its resistance was getting worse. Conclusion SICU physieians should enhance awareness of prevention and eontrol, improve the rational use of antibiotics, reduce bacterial resistance, and improve the successful rescue rate.