摘要
目的了解院内感染及多重耐药菌(MDROs)感染特点。方法对2016年10月~2017年6月入院所有患者进行前瞻性调查,调查医院感染及多重耐药菌感染情况。结果全院15674例患者中发生医院感染100例,医院感染率为0.64%;ICU感染率最高(13.90),明显高于其他科室(P<0.001);感染部位主要为呼吸道和手术部位;47株医院感染病原体以大肠埃希菌(23.40%)鲍曼不动杆菌(23.40%)和肺炎克雷伯菌(17.02%)为主。MDROs总的检出率为14.19%;以CR-AB和MRSA检出率最高,分别为71.43%和42.59%,而且这两种MDRO也是医院感染主要病原体。结论医院感染防控的重点为呼吸道感染,应重视抗菌药物合理使用,并贯彻多重耐药菌防控措施。
Objective:To understand the characteristics of nosocomial infection and multi-drug resistant organisms(MDROs)infection in a top three hospital of Lhasa.Methods:Prospective study was conducted on all patients admitted in our hospital from October 2016 to June 2017 for investigating nosocomial infection and MDROs infection.Results:The rate of nosocomial infection was 0.64%(100/15674),the infective rate(13.90)among ICU patients was higher than others(=526.04,P<0.001).The common nosocomial infection sites were respiratory tract surgical sites.The common pathogen of nosocomial infection were Escherichia coli(23.40%),Acinetobacter baumannii(23.40%),and Klebsiella pneumoniae(17.02%).The total detectable rate of MDROs was 14.19%.The detection rate of CR-AB(71.43%)and MRSA(42.59%)were the highest,and two of them became the pathogen of nosocomial infection.Conclusions:The respiratory infection is the main control and prevention target of nosocomial infection.It should be pay attention to the rational application of antibiotics to strengthen control measurements
作者
仓决吉巴
仁春梅
石荔
Jiba Cangjue;Chunmei Ren;Li Shi(People’s Hospital of Tibet Autonomous Region,Lhasa,Tibet 850000,China)
出处
《西藏医药》
2018年第2期1-3,共3页
Tibetan Medicine
关键词
医院感染
多重耐药菌
感染特点
Nosocomial Infection
MDROs
Infection Characteristics