Clinical distribution of multidrugresistant organisms in a comprehensive hospital
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R181.3+2

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    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.

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李露池,沈晖.某三级综合医院多重耐药菌临床分布[J].中国感染控制杂志英文版,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.

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History
  • Received:September 12,2013
  • Revised:November 12,2013
  • Adopted:
  • Online: April 30,2014
  • Published: