某三级综合医院多重耐药菌临床分布
作者:
作者单位:

作者简介:

李露池

通讯作者:

中图分类号:

R181.3+2

基金项目:


Clinical distribution of multidrugresistant organisms in a comprehensive hospital
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的了解某院多重耐药菌的临床分布特点,以采取针对性的预防控制措施。方法回顾性分析该院2012年1月1日—12月31日检出的891株多重耐药菌监测资料。结果 891株多重耐药菌中,以产超广谱β内酰胺酶(ESBLs)的大肠埃希菌居首位(342株,38.39%),其次为产ESBLs肺炎克雷伯菌(195株,21.89%)、多重耐药鲍曼不动杆菌(185株,20.76%)、耐甲氧西林金黄色葡萄球菌(138株,15.49%)、多重耐药铜绿假单胞菌(27株,3.03%)、产ESBLs奇异变形杆菌(2株,0.22%)、产ESBLs产酸克雷伯菌(2株,0.22%);主要集中在综合重症监护室(ICU;163株,18.29%)、神经内科(136株,15.26%)、普通外科(103株,11.56%)、神经外科(85株,9.54%)和呼吸内科(71株,7.97%)。痰标本分离多重耐药菌最多的是多重耐药鲍曼不动杆菌(242株,50.63%),主要集中在综合ICU;尿标本分离最多的是产ESBLs大肠埃希菌(141株,80.57%),主要集中在神经内科和泌尿外科。结论该院多重耐药菌感染部位主要为下呼吸道和泌尿系统;应加强对高危科室和易感人群的监控,制定有针对性的预防控制措施,遏制多重耐药菌的感染和传播。

    Abstract:

    ObjectiveTo realize the characteristics of clinical distribution of multidrugresistant organisms (MDRO) in a hospital,and take specific measures for the prevention and control of infection.MethodsSurveillance data of 891 MDR isolates detected in a hospital between January 1 and December 31, 2012 were analyzed retrospectively.ResultsOf 891 MDR isolates, extendedspectrum βlactamase(ESBL)producing Escherichia coli ranked first(342,38.39%), followed by ESBLproducing Klebsiella pneumoniae(195,21.89%),MDR Acinetobacter baumannii(185,20.76%), methicillinresistant Staphylococcus aureus(138,15.49%), MDR Pseudomonas aeruginosa(27,3.03%), ESBLproducing Proteus mirabilis(2,0.22%),and ESBLproducing Klebsiella oxytoca(2,0.22%); Bacteria mainly concentrated on general intensive care unit(ICU)(163,18.29%), department of neurology(136,15.26%),general surgery(103,11.56%),neurosurgery(85,9.54%), and respiratory diseases department(71,7.97%).The most common bacteria isolated from sputum was MDR Acinetobacter baumannii (242,50.63%),and mainly concentrated on general ICU; the most common bacteria isolated from urine was ESBLproducing Escherichia coli(141,80.57%), mainly concentrated on the departments of neurology and urology. ConclusionMDRO infection in this hospital mainly concentrate on lower respiratory tract and urinary system. Monitor on highrisk departments and vulnerable patients should be intensified, targeted preventive measures should be stressed to curb MDRO infection and spread.

    参考文献
    相似文献
引用本文

李露池,沈晖.某三级综合医院多重耐药菌临床分布[J]. 中国感染控制杂志,2014,13(4):242-245. DOI:10.3969/j. issn.1671-9638.2014.04.014.
LI Lu chi, SHEN Hui. Clinical distribution of multidrugresistant organisms in a comprehensive hospital[J]. Chin J Infect Control, 2014,13(4):242-245. DOI:10.3969/j. issn.1671-9638.2014.04.014.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2013-09-12
  • 最后修改日期:2013-11-12
  • 录用日期:
  • 在线发布日期: 2014-04-30
  • 出版日期: