某医院重症监护病房多重耐药菌目标监测结果分析

Targeted survellance and analysis on multiple drug resistance bacteria for ICU in a hospital

目的了解医院重症监护病房(ICU)多重耐药菌分布情况,为控制多重耐药菌感染提供理论依据。方法采用回顾性调查方式,对某医院ICU住院患者送检病原学标本多重耐药菌检测结果进行分析。结果该医院ICU在2013-2014年从住院患者送检的病原学标本中共检出耐药菌1 227株,其中多重耐药菌597株,占48.66%。耐碳青霉烯类鲍曼不动杆菌检出率最高,其次是产超广谱β-内酰胺酶菌株。多重耐药菌主要分离自痰液,提示以呼吸道感染为主。结论该医院重症监护病房多重耐药菌分离率较高,耐碳青霉烯类菌株感染形势严峻,防控的重点为呼吸道感染。

Objective To know the distribution of multiple drug resistance bacteria in ICU of the hospital,provide the ba- sis for prevention and control . Methods Retrospective investigation method was used to analyze the detection results of multiple drug resistance bacteria of samples in ICU. Results 1 227 strains of drug resistance bacteria were detected out from inpatients in 2013 -2014. Of them 597 strains were multiple drug resistance bacteria, which accounted for 48.66%. Penicillium carbon alkene resistant Acinetobacter baumannii was the most, followed by Estend - spectrum lactamase bacteri- a. Multiple drug resistance bacteria were mainly founded in sputum specimen, which means the infection site most occured in respiratory tract. Conclusion The detection rate of multiple drug resistance bacteria is high, and Penicillium carbon alkene resistant bacteria infection is serious. The key of infection control is respiratory tract infection.