医院多重耐药菌感染的目标监测及预防控制

Jarget detection and prevention of hospital infection control on multi drug resistant

目的研究医院多重耐药菌感染及其分布,以利于临床制定感染控制办法。方法调查分析遵义医学院第五附属(珠海)医院2013年1月至2014年12月发生的多重耐药菌感染情况及其分布情况。结果 2013至2014两年间共发生多重耐药菌医院感染273例(0.57%)。其中2013年多重耐药菌中以鲍曼不动杆菌比率最大,而2014年则是大肠埃希菌比率最大。且两年中感染率较高的科室均为神经外科。结论住院感染患者标本中检出多重耐药菌比例较高,其中以革兰阴性杆菌为主,应有针对性地加强控制措施,提高医院的医疗质量和患者的生存质量。

Objective To study the hospital-acquired infection and community-acquired infection caused by multiple drug re- sistant bacteria and their distribution, so as to provide basis for making control measures of hospital infection. Methods To in- vestigate and analyze infection caused by multi drug resistant bacteria and the distribution from January 2013 to Deceber 2014 in the hospital. Results From 2013 to 2014 in this hospital, 273 strains（0. 57% ） were multi-drug resistant bacteria. Bauman acinetobacter ratio was biggest in 2013, while that of Escherichia was the largest, and Neurosurgical infectioon rate was highest in two years. Conclusion The isolation rate of multi drug resistant bacteria is quite high in this hospital. The gram-negative bacilli is the major pathogenic bacteria, so some measures focused on it should be strengthened.