烧伤病房多重耐药菌感染状况及管理对策

Status and Management Measures of Multidrug-resistant Bacteria Infection in Burn Ward

目的探讨烧伤病房控制多重耐药菌感染的管理对策。方法选择我院烧伤科2014年1月至2016年1月期间多重耐药菌感染进行回顾性分析,总结多重耐药菌种类与分布情况,并探讨其管理措施。结果研究期间共计检出多重耐药菌株60株,其中以G-杆菌最为常见,占75%以上,其中又以铜绿假单胞菌、鲍曼复合醋酸钙不动杆菌最多,而G+球菌中以金黄色葡萄球菌最多;通过对耐药菌株分布情况分析可知,创面分泌物与痰液中分布最多,而血液与导管等分布较少。结论加强耐药菌株监测并及时采取隔离措施,重视烧伤病房管理,做好健康教育与培训,合理应用抗生素,在一定程度上可以减少烧伤科病人的多重耐药菌感染。

Objective To explore the management measures of controlling multidrug-resistant bacteria infection in burn ward. Methods A retrospective analysis on multidrug-resistant bacteria infection in burn department of our hospital from January 2014 to January 2016 was conducted. The types and distribution of multidrug-resistant bacteria were summarized and management measures were discussed. Results 60 strains of multidrug-resistant bacteria were detected during this study, in which gram negative bacilli was the most common one, accounting for more than 75%. In these gram negative bacilli, the number of pseudomonas aeruginosa bacteria and acinetobacter baumannii compound with calcium acetate was the most. The number of staphylococcus aureus in gram-positive bacteria was the most. Through the analysis on the distribution of drug resistant strains, it was found that there were more in wound secretion and sputum and less in blood and catheter. Conclusion Actively strengthening the surveillance of drug-resistant strains, taking timely quarantine measures, paying attention to the management of burn ward, improving health education and training and applying antibiotics reasonably can reduce multidrug-resistant bacteria infection in a certain extent.