综合医院6种多药耐药菌流行特征分析

发布时间：2018-06-08 06:45

本文选题：多药耐药 + 多药耐药菌　；参考：《中华医院感染学杂志》2016年22期

【摘要】：目的了解常见多药耐药菌(MDRO)在综合医院的流行特征,为临床提供预防控制依据。方法收集2014年1-12月107 051例患者临床资料,分析MDRO感染率及科室分布,进行统计分析。结果 2014年1-12月监测的6种MDRO及感染病例634例,感染率为0.59%,6种MDRO检出例数及其构成比分别为耐碳青霉烯类抗菌药物的鲍氏不动杆菌(CR-AB)326例(51.42%)、耐碳青霉烯类抗菌药物的铜绿假单胞菌(CR-PA)115例(18.14%)、MRSA 161例(25.39%)、耐碳青霉烯类抗菌药物的大肠埃希菌(CR-E.coli)9例(1.42%)、耐碳青霉烯类抗菌药物的肺炎克雷伯菌(CR-KP)7例(1.10%)、泛耐药肠杆菌科细菌(XDR-ENT)16例(2.52%);CR-AB、CR-PA和MRSA在烧伤整形外科分布最多,其次是ICU和中医科病区;CR-E.coli、CR-KP和XDR-ENT散在分布于少数科室;分离出的MDRO中,医院感染例数占总例数的49.68%,CR-AB、XDR-ENT、CR-PA、CRE.coli、CR-KP和MRSA医院感染病例的构成比分别为57.56%、56.25%、46.96%、44.44%、42.86%和36.65%。结论综合医院MDRO的感染率比较低;CR-AB是最常见的MDRO,其次是MRSA和CR-PA;烧伤整形外科病房、ICU和中医科病房是MDRO管理的重点科室;MDRO社区感染和医院感染的预防控制均应重视。
[Abstract]:Objective to understand the epidemic characteristics of common multidrug resistant bacteria (MDRO) in the general hospital and provide the basis for clinical prevention and control. Methods the clinical data of 107051 cases in 1-12 months of 2014 were collected. The infection rate of MDRO and the distribution of the Department were analyzed. The results were 6 MDRO and 634 cases of infection in 1-12 months of 2014. The infection rate was 0.59% and 6 kinds of MD were detected. The number of RO detection cases and its constituent ratio were 326 cases (51.42%) of Acinetobacter baumannii (CR-AB), 115 cases (18.14%) of carbapenem resistant Pseudomonas aeruginosa (18.14%), 161 cases of MRSA (25.39%), 9 cases (1.42%) of Escherichia coli (CR-E.coli), carbapenems, carbapenems, carbapenes, carbapenes, and carbapenes. 7 cases (1.10%) of Klebsiella pneumoniae (CR-KP) and 16 cases (2.52%) of Pan resistant Enterobacteriaceae (XDR-ENT); CR-AB, CR-PA and MRSA were most distributed in the orthopedics, followed by ICU and Department of traditional Chinese medicine; CR-E.coli, CR-KP and XDR-ENT scattered in the minority department; in MDRO, the number of hospital infections accounted for 49.68%, CR-AB, XD. The constituent ratios of R-ENT, CR-PA, CRE.coli, CR-KP and MRSA were 57.56%, 56.25%, 46.96%, 44.44%, 42.86%, and 36.65%., the infection rate of MDRO was low; CR-AB was the most common MDRO, followed by MRSA and CR-PA; in the burn plastic surgery ward, ICU and Department of traditional Chinese medicine ward were the key departments of the management; community infection And the prevention and control of hospital infection should be paid attention to.
【作者单位】：广西医科大学第一附属医院医院感染管理科;广西医科大学卫生事业管理教研室;
【分类号】：R378

【相似文献】