2012年某医院多重耐药菌医院感染目标性监测与分析

TARGETED SURVEILLANCE AND ANALYSIS OF MULTI-RESISTANT BACTERIA NOSOCOMIAL INFECTION IN 2012

目的了解医院住院患者多重耐药菌感染现状,为防控多重耐药菌感染暴发提供参考。方法通过目标性监测方法,对某医院住院患者多重耐药菌医院感染情况进行监测与分析。结果该医院在2012年度共收治住院患者57 600例,发现多重耐药菌感染1 120例,感染率为1.94%。从感染患者送检标本中检出产β-内酰胺酶大肠埃希菌和肺炎克雷伯菌、耐甲氧西林金黄色葡萄球菌(MRSA)、多重耐药鲍曼不动杆菌(MDR-AB)、多重耐药的铜绿假单胞菌(MDR-PA)及其他多重耐药菌共1 120株。结合目标性监测发现的问题,采取有效防控措施,及时控制了2起多重耐药菌疑似医院感染暴发事件。结论医院感染目标性监测有利于及时发现问题并采取防控措施,具有前瞻性意义。

Objective To investigate multi - drug resistant infection status of hospital inpatient, and provide reference for prevention and control of outbreaks of multi - drug resistant infections. Methods Targeted surveillance was used to monitor and analyze nosoeomial infection of multi - drug resistant. Results The total number of patients was 57 600 in 2012 of our hospital, the patients infected by multi - drug resistant bacteria were 1 120, and the infection rate was 1.94%. 1 120 strains of bacteria including β - lactamase producing Escherichia coli and Klebsiella pneumoniae, methicillin - resist- ant Staphylococcus aureus （MRSA）, multidrug - resistant Acinctobacter baumannii （ MDR - AB ）, multi - drug resistant Pseudomonas aeruginosa （MDR - PA） and other multi - drug resistant bacteria were detected in all samples. Combined with targeted surveillance identified problems and take effective prevention and control measures, two cases of suspected outbreaks of multi - resistant hospital infection was promptly controlled. Conclusion We can found problems and take control measures prmptly through the targeted surveillance of nosocomial infection, which has prospective significance.