2011—2013年贵州省肿瘤医院常见多重耐药菌分析
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罗庆

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R181.3+2

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Multidrugresistant organisms in Guizhou Cancer Hospital in 2011-2013
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    摘要:

    目的了解某肿瘤医院多重耐药菌(MDRO)的分布情况,为医院感染防控提供依据。方法回顾性分析贵州省肿瘤医院2011—2013年临床送检标本中分离的MDRO监测资料。结果2011—2013年共检出1 165株MDRO,产超广谱β内酰胺酶(ESBLs)大肠埃希菌检出最多(626株,占53.73%),其次为耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)(209株,占17.94%);各年检出MDRO数量呈递增趋势。MDRO标本来源以痰/咽拭子(346株,占29.70%)、分泌物(322株,27.64%)及尿(227株,19.48%)为主;检出科室主要为重症监护病房(ICU)(210株,占18.03%),其次为泌尿外科(173株,占14.85%)。结论该肿瘤医院患者分离的MDRO主要来源于呼吸道、伤口分泌物及泌尿系统,应加强对高危科室及易感人群的监控,制定有针对性预防控制措施,遏制MDRO的感染和传播。

    Abstract:

    ObjectiveTo understand the distribution of multidrugresistant organisms (MDROs) in a cancer hospital, and provide basis for the prevention and control of healthcareassociated infection (HAI).MethodsMonitored data of MDROs from clinical specimens in Guizhou Cancer Hospital in 2011-2013 were analyzed retrospectively.ResultsA total of 1 165 MDRO strains were isolated in 2011-2013, most of which were extendedspectrum betalactamaseproducing Escherichia coli (n=626,53.73%), followed by methicillinresistant coagulase negative staphylococcus (MRCNS, n= 209,17.94%); MDRO detection rate increased year by year. MDROs were mainly isolated from sputum/throat swabs(n=346,29.70%), secretion(n=322,27.64%), and urine(n=227,19.48%); intensive care unit and department of urology were the major departments of emergence of MDROs, accounting for 18.03% (n=210) and 14.85% (n=173) respectively.ConclusionMDROs in this hospital are mainly isolated from respiratory tract, surgical wound, and urinary system, monitoring of highrisk departments and susceptible population should be strengthened, targeted prevention and control measures should be developed to curb the infection and spread of MDROs.

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罗庆,王伟,刘宓,等.2011—2013年贵州省肿瘤医院常见多重耐药菌分析[J]. 中国感染控制杂志,2016,15(1):45-48. DOI:10.3969/j. issn.1671-9638.2016.01.011.
LUO Qing, WANG Wei, LIU Mi, et al. Multidrugresistant organisms in Guizhou Cancer Hospital in 2011-2013[J]. Chin J Infect Control, 2016,15(1):45-48. DOI:10.3969/j. issn.1671-9638.2016.01.011.

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  • 收稿日期:2015-02-26
  • 最后修改日期:2015-09-12
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  • 在线发布日期: 2016-01-31
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