脑膜脓毒黄杆菌的医院感染防控3例分析

Analysis of Prevention and Control of Nosocomial Infection Caused by Chryseobacterium Meningosepticum in 3 cases

目的:分析脑膜脓毒黄杆菌感染患者的传播方式及医院感染防控措施。方法:回顾性分析承德市中心医院2019年3月-2020年3月收治的多重耐药脑膜脓毒黄杆菌感染患者3例的临床资料、医院感染防控措施和环境采样结果,并查阅相关文献进行分析总结。结果:3例多重耐药脑膜脓毒黄杆菌感染均不属于院内感染,环境卫生学监测结果未见异常,脑膜脓毒黄杆菌对多种抗菌药物有较高的耐药性。结论:多重耐药脑膜脓毒黄杆菌可造成污染环境,推荐采用单间、同病种隔离,针对脑膜脓毒黄杆菌感染患者需严格执行环境清洁消毒与隔离,合理应用抗菌药物。

Objective:To analyze the mode of transmission in patients with Chryseobacterium meningosepticum infection and nosocomial infection prevention and control measures.Methods:The clinical data,hospital infection prevention and control measures and environmental sampling results of 3 patients with multiple drug resistant flavobacterium meningosum infection admitted to Chengde Central Hospital from March 2019 to March 2020 were analyzed retrospectively,and relevant literature was consulted for analysis and summary.Results:The 3 cases of multi drug resistant flavobacterium meningosum infection did not belong to hospital infection,and the environmental hygiene monitoring results were normal;Flavobacterium meningosum has high resistance to a variety of antibacterial agents.Conclusion:Multidrug-resistant Chryseobacterium meningosepticum can cause environmental pollution.It is recommended to implement isolation in a single room and with the same disease species.For patients with Chryseobacterium meningosepticum infection,environmental cleaning,disinfection and isolation should be strictly implemented,and antibacterial agent should be used rationally.