中医院多重耐药菌感染情况分析

Analysis of multi drug resistant bacteria infection in the traditional chinese medicine hospital

目的:探讨大型综合性中医医院多重耐药菌感染发生的特点。方法:对5年间分离的3 619例多重耐药菌菌株的种类及科室分布情况进行回顾性调查和分析。结果:3 619例病例中,以耐甲氧西林金黄色葡萄球菌(MRSA)感染最多912例(25.2%),以下依次为ESBLs 799例(22.1%),MDR/PDR-BA 660例(18.2%),VRE 637例(17.6%),CR-AB611例(16.9%)。科室分布以针灸一、二、三病房及心病科、康复科和肺病科为多重耐药菌感染发生的前6位。结论:中医医院由于其患者构成特点,发生多重耐药菌感染的危险较同级西医医院高,应予以高度重视。

Objective:To investigate the characteristics of occurrence of multi drug resistant bacteria infection in large general hospital of traditional Chinese medicine.Methods:We retrospective investigated and analyzed the species and distribution department of 3619 cases of multi drug resistant bacteria strains were isolated in 5 years.Results:Among the 3619 cases,the methicillin resistant staphylococcus aureus(MRSA) infection was the most(912 cases),accounted for 25.2% of all the strains.The following sequence was ESBLs 799 cases(22.1%),MDR/PDR-BA 660 cases(18.2%),VRE 637 cases(17.6%),CR-AB 611 cases(16.9%).On the distribution of departments,the former six departments of multi drug resistant bacteria infection were the first, second and three departments of acupuncture and department of cardiology,rehabilitation department,pulmonary disease department.Conclusion:Because of the characteristics of the patients in traditional Chinese medicine hospital,the risk of multi drug resistant bacteria infection is higher than the western medicine hospital,so we should pay more attention to this.