内科监护病房的感染分析

The infection analysis of medical intensive care unit

目的 :了解本院内科监护病房的感染和细菌耐药情况。方法 :按《全国临床检验操作规程》进行分离培养 ,细菌用法国梅里埃公司VITEK - 6 0自动细菌鉴定仪鉴定菌种 ,药敏试验采用K -B法。真菌用梅里埃公司API 2 0CAUX鉴定条和ATBFUNGUS药敏条进行鉴定和药敏试验。结果 :革兰阴性杆菌感染占36 3% ,革兰阳性球菌占 2 7 4 % ,真菌占 36 3%。革兰阴性杆菌对不同的抗生素敏感性不一 ,革兰阳性球菌对万古霉素、替考拉宁敏感性高 ,真菌对 5 -氟胞嘧啶、两性毒素B等抗真菌药物敏感。结论 :多数细菌呈多重耐药性 。

Objective:To investigate the bacteria infection and drug resistance state in the medical intensive care unit .Methods:Flora cultivation and isolation were performed by the stipulated methods,Bacteria were identified with Vitek 60 instrument.Drug sensitivity tests were performed with Kirby Bauer method.Results :Infection rates of Gram negative bacilli,Gram positive coccus,Fungi were 36.6%,27.4%,36.6%respectively.Gram negative bacilli had a variable sensitivity to different antibiotics.Gram positive coccus were more sensitive to vancomycin and teicoplanin.Fungi were sensitive to anti fungal drug.Conclusion: Drug resistance is very common in hospital.A more perfect disinfection regulation and reasonable antibiotic therapy will help reducing infection rate and controlling the transmission of drug resistant bacteria.