某三甲医院住院患者微生物标本送检及抗菌药物使用情况调查研究

Investigation and study on microbiological specimen of the three level of first - class hospital inpatient and the use of antibacterial drugs

目的调查某医院住院患者微生物标本送检及抗菌药物使用情况，探讨控制感染的有效措施及策略。方法对一年间该院住院患者送检标本的类型及病原菌的分类、分布情况进行分析，了解多重耐药菌类型、标本分布、科室感染情况。对常见革兰阴性菌、革兰阳性菌耐药情况进行总结分析。同时调查研究同期全院治疗性应用抗菌药物的情况。结果该院一年来住院患者微生物标本来自呼吸道痰液标本最多（8401份），所有送检标本检出致病菌最多为大肠埃希菌（1771例）。来自呼吸道的痰液标本感染多重耐药菌的例数最多，占总例数的43％。重症一科多重耐药菌感染病例最多。结论感染控制是多学科、多部门共同协作、相互配合去克服的问题，只有切实抓好感染控制的每个环节，才能真正意义上地有效控制感染。

Objective To understanding microbiological specimen of a hospital inpatient and the use of antibacterial drugs. To explore the effective measures and means to control the infection. Methods To analyze the distribution, classification of specimens of hospitalized patients in the hospital and the types of pathogenic bacteria from. The infection of multi drug resistant bacteria were summarized the types, distribution, department. The analysis of Common Gram negative bacteria, gram positive bacteria drug resistance. At the same time, investigation of drug research period the therapeutic application of antibacterial. Results The study found that the school year in patients from respiratory tract sputumspecimens （8401）. All the samples were the most pathogenic bacteria were Escherichia coli （ 1771 cases）. The number of cases of multi drug resistant bacteria from respiratory tract infection in the sputum specimens of up to 43 % of the total number of cases. Conclusion Infection control is a multi - disciplinary, multi- sectoral work together with each other to overcome the problem, only really good grasp of every aspect of a sense of control in order to effectively control the infection in the true sense.