ICU多药耐药菌感染监测与干预研究

发布时间：2018-02-13 09:13

本文关键词： 综合重症监护病房多药耐药菌医院感染干预对策　出处：《中华医院感染学杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的对综合重症监护病房(ICU)多药耐药菌(MDROs)感染情况进行分析,并制定相应的干预措施,以减少耐药菌的产生。方法收集2010年4月-2014年2月在医院综合ICU 305例住院患者的送检标本2 168份进行分析,对培养阳性的病原菌筛选出MDROs,并分析其类型及分布构成等。结果 2 168份标本中共分离出病原菌814株,其中MDROs 408株,排名前3位的菌株依次为鲍氏不动杆菌、铜绿假单胞菌、肺炎克雷伯菌;MDROs感染部位以呼吸道和血液为主,分别占70.5%和13.0%。结论 MDROs感染多由于医院感染而引起,因此,应加强医院感染管理,制定切实可行的管理制度,提高ICU护理人员洗手依从性,严格控制和监督器械和材料的消毒工作,降低MDROs感染的发生。
[Abstract]:Objective to analyze the infection of multidrug resistant bacteria (MDROs) in integrated intensive care unit (ICU), and to formulate corresponding intervention measures. Methods from April 2010 to February 2014, 2 168 samples were collected from ICU patients in hospital. Results A total of 814 strains of pathogenic bacteria were isolated from 2 168 samples, among which MDROs 408 strains, the top 3 strains were Acinetobacter baumannii, Pseudomonas aeruginosa, and so on. The infection sites of Klebsiella pneumoniae were mainly respiratory tract and blood, which accounted for 70.5% and 13.0.Conclusion MDROs infection is mostly caused by nosocomial infection. Therefore, the management of nosocomial infection should be strengthened and a feasible management system should be established. To improve the compliance of ICU nurses to wash hands, strictly control and supervise the disinfection of instruments and materials, and reduce the incidence of MDROs infection.
【作者单位】：武警浙江省总队杭州医院ICU;武警浙江省总队杭州医院检验科;
【基金】：浙江省医药卫生基金资助项目(2012KYB198)
【分类号】：R446.5

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