肿瘤患者多重耐药菌感染监测
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张小琴

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R181.3+2

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Monitor of multidrugresistant bacterial infection in tumor patients
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    摘要:

    目的探讨肿瘤医院住院患者多重耐药菌(MDRB)医院感染情况,为制定有效的防控措施提供依据。方法对河南省肿瘤医院2011年1—12月送检的各类标本分离的MDRB资料进行回顾性分析。结果共分离细菌2 562株,其中MDRB 449株,占17.53%。MDRB中,革兰阴性菌305株(67.93%),以大肠埃希菌检出率(54.57%,245株)最高,其次为肺炎克雷伯菌(9.80%,44株);革兰阳性菌144株(32.07%),以金黄色葡萄球菌(11.80%,53株)和表皮葡萄球菌(11.58%,52株)检出率较高。MDRB感染重点科室是普通外科(120株,26.73%)和肝胆外科(98株,21.83%);标本来源以胸(腹)腔引流液较多(39.42%),其次为痰液(19.82%)和血液(19.16%)。结论医院感染监测有助于了解医院MDRB感染情况和预防医院感染暴发。

    Abstract:

    ObjectiveTo evaluate multidrugresistant bacterial (MDRB) healthcareassociated infection (HAI) in malignant tumor patients, so as to provide basis for the effective prevention and control measures.MethodsData on MDRB isolated from various specimens in Henan Tumor Hospital in JanuaryDecember 2011 were analyzed retrospectively.ResultsA total of 2 562 pathogenic strains were isolated, 449 (17.53%) of which were MDRB. Of all MDRB,305 (67.93%)were gramnegative bacteria,the isolation rate of Escherichia coli was the highest (54.57%,245 isolates), followed by Klebsiella pneumoniae (9.80%,44 isolates);grampositive bacteria were 144 isolates(32.07%),the isolation rate of Staphylococcus aureus (11.80%,53 isolates) and Staphylococcus epidermidis (11.58%,52 isolates) were higher. MDRB infections were mainly concentrated on general surgery (26.73%,120 isolates)and hepatobiliary surgery(21.83%, 98 isolates); the major specimen was drainage fluid of pleuroperitoneal cavity(39.42%), followed by sputum (19.82%)and blood(19.16%).ConclusionHAI monitoring helps to realize MDRB infection and prevent outbreak of HAI.

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赵 霞,张小琴.肿瘤患者多重耐药菌感染监测[J]. 中国感染控制杂志,2013,12(4):288-290. DOI:10.3969/j. issn.1671-9638.2013.
ZHAO Xia, ZHANG Xiaoqin. Monitor of multidrugresistant bacterial infection in tumor patients[J]. Chin J Infect Control, 2013,12(4):288-290. DOI:10.3969/j. issn.1671-9638.2013.

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  • 收稿日期:2013-01-12
  • 最后修改日期:2013-04-12
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  • 在线发布日期: 2013-07-30
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