某综合医院耳念珠菌感染/定植患者的临床特征及防控
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R181.3+2;R197.323.4

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重大疾病流行病学教育部重点实验室(北京大学)2024年度开放基金(2024204)


Clinical characteristics as well as infection prevention and control of Candida auris infection/colonization in a general hospital
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    摘要:

    目的 探讨耳念珠菌感染/定植患者临床特点及防控策略。方法 分析2023年9月—2024年3月某综合医院检出耳念珠菌患者的临床特征及防控措施,评估防控措施的效果。结果 共9例患者检出耳念珠菌,标本来源为尿5例(55.56%),痰3例(33.33%),腹腔引流液1例(11.11%);社区感染5例(55.56%),社区定植3例(33.33%),医院定植1例(11.11%);死亡5例(55.56%),出院3例(33.33%),转院1例(11.11%)。通过培训、纳入预警、单间隔离、个人防护、手卫生、环境清洁消毒并加强过程采样督促、督促送检和排查、终末消毒并采样合格方收治新患者等措施,患者环境采样均未检出耳念珠菌,未发生医院交叉传播。结论 重视耳念珠菌感染防控措施的落实,能有效控制医院感染的发生和交叉传播。

    Abstract:

    Objective To explore the clinical characteristics as well as infection prevention and control strategies of patients with Candida auris (C. auris) infection/colonization. Methods Clinical characteristics as well as prevention and control measures of patients detected with C. auris in a general hospital from September 2023 to March 2024 were analyzed, prevention and control measures were evaluated. Results A total of 9 patients were detected C. auris, and the specimen sources were urine from 5 cases (55.56%), sputum from 3 cases (33.33%), and abdominal drainage fluid from 1 case (11.11%). There were 5 cases of community-associated infection (55.56%), 3 cases of community colonization (33.33%), and 1 case of hospital colonization (11.11%). There were 5 cases of deaths (55.56%), 3 cases of discharges (33.33%), and 1 case of transfer (11.11%). Through measures such as training, early warning, single-room isolation, personal protection, hand hygiene, environmental cleaning and disinfection and strengthening supervision on sampling process, supervising sampling detection and screening, terminal disinfection, and ensuring a qualified detection result of specimens before admitting new patients, no C. auris was detected from patient’s surrounding environment sampling, and no cross-transmission occurred in the hospital. Conclusion Paying attention to the implementation of prevention and control measures for C. auris infection can effectively control the occurrence and cross transmission of healthcare-associated infection.

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陈美恋,王欣心,田园,等.某综合医院耳念珠菌感染/定植患者的临床特征及防控[J]. 中国感染控制杂志,2025,24(1):99-104. DOI:10.12138/j. issn.1671-9638.20256749.
CHEN Meilian, WANG Xinxin, TIAN Yuan, et al. Clinical characteristics as well as infection prevention and control of Candida auris infection/colonization in a general hospital[J]. Chin J Infect Control, 2025,24(1):99-104. DOI:10.12138/j. issn.1671-9638.20256749.

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  • 收稿日期:2024-07-11
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  • 在线发布日期: 2025-01-24
  • 出版日期: 2025-01-28