多重耐药鲍曼不动杆菌感染情况调查及耐药分析

Investigation and Drug Resistance Analysis of Multi Drug Resistant Acinetobacter Bauman Infection

目的分析当前鲍曼不动杆菌分布情况及其耐药性,为今后医院的感染防治及临床医疗改进工作提供充足的依据。方法回顾性分析该院在2012年1月—2013年1月(A组)及2013年6月—2015年6月(B组)两个时间段内各200株鲍曼不动杆菌的感染情况和耐药性特点。结果于2013年实行全新的医院临床护理制度之后,鲍曼不动杆菌检出率明显降低,由之前的45%下降到7%;同时鲍曼不动杆菌对于常见抗菌药物的敏感性与之前相比明显提高;鲍曼不动杆菌于呼吸科和重症监护室的检出率最高,分别为77.89%和44.23%(P<0.05)。结论鲍曼不动杆菌耐药性高,常见于呼吸道疾病和重症疾病。为有效降低鲍曼不动杆菌的感染率,提高对抗菌药物的敏感性,建议不断改善临床护理能力和水平,提高护理操作的准确度,降低病菌的感染率。

Objective To analyze the distribution of Acinetobacter Bauman and analyze its drug resistance, and to provide sufficient evidence for the prevention and treatment of hospital infection and the improvement of clinical medicine. Meth-ods The infection status and drug resistance of 200 strains of Bauman Acinetobacter were retrospectively analyzed in a hos-pital from January 2012 to January （-2013 group） and June-2015 （B group） in two time periods of A. Results in 2013 to implement new hospital clinical nursing system, Acinetobacter baumannii detection rate was significantly lower, 45% from the previous fall to 7%; and Acinetobacter baumannii to common antibacterial drug sensitivity was higher than that of;Acinetobacter baumannii in respiratory department and intensive care unit of the highest detection rate, respectively 77.89%and 44.23%（P〈 0.05）. Conclusion Acinetobacter baumannii coli resistance is high, is common in severe diseases and res-piratory diseases. In order to effectively reduce the Acinetobacter bacillus infection rate and improve the sensitivity to an-tibiotics, suggested that the hospital continue to improve clinical nursing ability and level, improve accuracy of nursing op-eration, reduce the rate of infection of pathogens.