2011年-2013年骨科病房患者常见多重耐药菌株的评估与分析

Evaluation and analysis of common multi-drug resistant strains in department of orthopedics in 2011-2013

目的探究南阳市中心医院骨科病房患者常见多重耐药菌株的定植与感染的情况,为常见多重耐药菌株的控制提供相应依据。方法使用回顾性的调查方法,选取本院2011年-2013年骨科病房120例患者作为研究对象,对其常见多重耐药菌进行评估与分析。结果观察近3年骨科病房多重耐药菌分布情况,发现所分离出来的菌种中,葡萄球菌属占总数的47.6%,其中凝固酶阴性葡萄球菌(CNS)数量为主要致病菌,且近年来耐药性呈逐年上升的趋势。结论骨科病房患者葡萄球菌属的耐药性不断增强,多重耐药菌株的分布也较普遍。因此根据药敏检查结果,合理使用相应的抗菌药物,是预防与治疗骨科病房耐药菌感染的关键。

Objective To explore colonization and infection of common multi - drug resistant strains in patients in department of orthopedics in our hospital, so as to provide basis for the control of common multi - drug resistant strains. Methods Used the survey method of review, 120 patients in the department of orthopedics in our hospital during 2011 -2013 as the research ob- jects, and the common multi - drug resistant bacteria were evaluated and analyzed. Results Nearly three years observation on multi - drug resistant bacteria distribution in department of orthopedics was performed, and found that among the isolated bacte- rium, Staphylococcus accounted for 47.6% of the total, of which the largest number of CNS was the main pathogenic bacteria, and drug resistance of Staphylococcus in recent years showed a rising trend year by year. Conclusion The drug resistance of Staphylococcus spp. in department of orthopedics has been increasing, the distribution of multi - drug resistant strains is com- mon. So appropriate antimicrohial agents must be chosen, according to the results of drug sensitivity detection, was the key to prevent and treat multi - drug resistant strains infections in department of orthopedics.