医院感染多重耐药菌的监测及防控措施探究

Investigation on the Surveillance and Prevention and Control Measures of Hospital Infection With Multi-drug Resistant Bacteria

目的分析医院感染多重耐药菌分布情况,并探究相关防控措施。方法对2017—2019年本院多重耐药菌感染分布情况进行回顾性分析。结果本院2017—2019年住院患者感染标本共分离多重耐药菌346株,根据感染占比排序依次为大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌、耐甲氧西林金黄色葡萄球菌、耐碳青霉烯类肠杆菌、耐万古霉素肠球菌;多重耐药菌科室分布占比依次为重症医学科、普外科、老年病科、肿瘤科、神经内科、呼吸内科、骨科、感染科、妇产科。结论做好院内消毒隔离措施,加强抗菌药物应用管理,预防医院多重耐药菌感染。

Objective To analyze the distribution of multi-drug resistant bacteria in hospital infection and explore relevant prevention and control measures.Methods A retrospective analysis of the distribution of multi-drug resistant bacteria in our hospital from 2017 to 2019.Results 346 strains of multi-drug resistant bacteria were isolated from the infected specimens of hospitalized patients in our hospital from 2017 to 2019.According to the proportion of infection,they were Escherichia coli,Klebsiella pneumoniae,Acinetobacter baumannii,Pseudomonas aeruginosa,methicillin-resistant Staphylococcus aureus,carbapenem-resistant enterobacter spp and vancomycin-resistant enterococcus.The distribution proportion of multi-drug resistant bacteria in the department of critical care medicine,general surgery,geriatrics,oncology,neurology,respiratory medicine,orthopedics,infection,obstetrics and gynecology.Conclusion In order to prevent the infection of multi-drug resistant bacteria in hospital,the measures of disinfection and isolation in hospital should be done well,and the application and management of antibiotics should be strengthened.