我院常见多重耐药菌感染监测的分析.docVIP

精品论文 参考文献 我院常见多重耐药菌感染监测的分析 韩雪花1 葛海燕 钱玮和2 　　（1.江苏省淮安市第二人民医院 感染管理处 江苏 淮安 223002） 　　（2.江苏省淮安市第二人民医院 检验科 江苏 淮安 223002） 　　【摘 要】目的：对我院多重耐药菌患者感染的情况进行分析，为临床治疗与控制在院内传播提供依据。方法：对我院2014年上半年住院患者的标本进行细菌培养及耐药菌分析。结果：947株病原菌中多重耐药菌(MDRO)290株，占分离菌株的30.6%；检出率依次为鲍曼不动杆菌63株(21.7%)、铜绿假单胞菌60株(20.7%)、粘质沙雷菌46株(15.9%)、肺炎克雷伯菌30株(10.3%)、耐甲氧西林金黄色葡萄球菌(MRSA)22株(7.6%)，大肠埃希菌18株(6.2%)、 液化沙雷菌12株(4.1%)；感染高危科室为ICU，脑复苏、呼吸内科、神经内科、神经外科。结论：多重耐药菌感染呈上升趋势，应加强多重耐药菌的监测，正确对抗生素的合理应用，防止多重耐药菌医院感染的发生与传播。 　　【关键词】多重耐药菌；感染监测；药敏 　　【中图分类号】R51 【文献标识码】B 【文章编号】1003-5028（2015）8-0759-02 　　Surveillance and analysis of MDRIB infection in hospital 　　Xuehua Han; Haiyan Ge; Weihe Qian 　　（1．Department of Infection Management, 2. Clinical Laboratory, the Affiliated Huairsquo;an Hospital of Xuzhou Medical College, Huairsquo;an 223002, P. R. China.） 　　【Abstract】Objective To retrospectively analyze the MDRB infection status of clinical isolates and drug resistance in hospital，in order to provide an effective basis for control of MDRB nosocomial infection. Methods MDRB isolates in hospital between January 1 and June 30 in 2014 were identified by DL medical machine and conducted antibiotic sensitivity test by Kirby-Bauer method. Results 947 strains of pathogenic bacteria (MDRO) multi-resistant bacteria in 290 strains, accounting for 30.6% of the isolated bacteria strains; 63 strains of acinetobacter baumannii ranked first(21.7%), followed by 60 strains of pseudomonas aeruginosa (20.7%), 46 strains of Serratia marcescens (15.9%), 30 strains of klebsiella pneumoniae (10.3%), 22 strains of methicillin-resistant staphylococcus aureus (MRSA)(7.6%), 18 strains of escherichia coli (6.2%) and 12 strains (4.1%) of Serratia liquefaciens. Departments with high-risk infection are that of ICU, brain recovery, respiratory medicine, neurology and neurosurgery subsequently. Conclusion: Multi-drug resistance bacteria was on the rise accompanying by serious drug resistance, so MDRB monitoring should be strengthened to control nosocomial inf