多重耐药菌感染的多重防控

Strategies for Prevention of Infections Caused by a Multi-Drug Resistant Bacteria

目的探讨安庆市第一人民医院重症医学科(ICU)多重耐药菌感染情况以采取相应的预防措施。方法对2010年1月-2011年12月ICU收治多重耐药菌感染患者的医院感染预防、控制措施进行分析、整理。分析2010～2011年发生的多重耐药菌感染情况,比较近两年多重耐药菌感染率以及感染部位分布情况。结果多重耐药菌医院感染率2010年为17.0%,2011年为14.3%,2011年患者感染率较2010年降低,其中MRSA和CR-AB感染率降低明显,差异有统计学意义(P<0.05)。另外呼吸道感染较其他部位多见,差异有统计学意义(P<0.05)。结论加强住院病人多重耐药菌感染的监测并及时消毒隔离,严格执行无菌操作规程及手卫生消毒,正确地使用抗生素等多种方法,可有效控制多重耐药菌医院感染的发生率。

Objective To investigate the situation of multi-drug resistant bacteria infection in ICU and provide some corresponding prevention measures.Methods The materials of hospital infection caused by a multi-drug resistant bacteria and measures of prevention from 2010 to 2011 in our hospital were analyzed.The distribution of multi-resistant infection site and infection rate was compared between the recent two years.Results The rate of multi-drug resistant hospital infection was 17.0% in 2010 and 14.3%in 2011.The infection rates of MRSA and CR-AB decreased obviously（P0.05）.The respiratory tract was the common site with multi-drug resistant bacteria infection.Conclusion To strengthen the monitoring of multi-drug resistant bacteria in hospitalized patients and timely disinfection,strict to perform sterile operating procedures,and rational use of antibiotics,should effectively decrease the rate of multi-drug resistant bacteria infections.