呼吸内科住院病人多重耐药菌感染现状及管理对策

Status quo and management strategies of multiple drug-resistant infections in inpatients in department of respiratory medicine

[目的]了解呼吸内科住院病人多重耐药菌感染现状及管理对策。[方法]回顾性分析81例呼吸内科多重耐药菌感染病人的感染情况。[结果]81例病人中,61岁以上病人41例(50.6%),慢性阻塞性肺疾病急性加重病人29例(35.8%),病原菌位居前3位的为鲍曼不动杆菌(53.1%)、铜绿假单胞菌(35.8%)、金黄色葡萄球菌(9.9%)。[结论]呼吸内科需实施多层次综合管理,提高医护人员手卫生依从性,减少多重耐药菌的传播。

Objective:To know about the status quo and management strategies of multiple drug-resistant infections in inpatients in department of respiratory medicine.Methods:Retrospective analysis of 81 cases of respiratory multidrug-resistant patients infected with infection.Results:EHMN;Among the 81 patients,there were41cases(50.6%)of patients aged 61 years and over,29cases(35.8%)with acute exacerbation of chronic obstructive pulmonary disease,the top three pathogens were Acinetobacter baumannii(53.1%(35.8%),Staphylococcus aureus(9.9%).Conclusion:Respiratory medicine should implement multi-level comprehensive management,improve the health care workers' hand hygiene compliance andreduce the spread of multiple drug-resistant bacteria.