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2011—2013年贵州省肿瘤医院常见多重耐药菌分析

发布时间:2018-07-28 20:36
【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]:Objective to investigate the distribution of multidrug resistant bacteria (MDRO) in a tumor hospital and to provide evidence for the prevention and control of nosocomial infection. Methods the MDRO monitoring data from clinical samples collected from Guizhou Cancer Hospital from 2011 to 2013 were analyzed retrospectively. Results 1 165 strains of MDRO-producing extended-spectrum 尾 -lactamase (ESBLs) were detected most (626 strains, 53.73%), followed by methicillin-resistant coagulase-negative staphylococcus (MRCNS) (209 strains. The number of MDRO detected in each year showed an increasing trend. Sputum / pharyngeal swabs (346 strains, 29.70%), secretions (322 strains, 27.64%) and urine (227 strains, 19.48%) were the main sources of MDRO in each year, and (ICU) (210 strains (18.03%) were mainly detected in intensive care units, followed by urology (173 strains, 14.85%). Conclusion the MDRO isolated from patients in this tumor hospital mainly comes from respiratory tract, wound secretion and urinary system. It is necessary to strengthen the monitoring of high risk departments and susceptible population, to formulate targeted prevention and control measures, and to curb the infection and transmission of MDRO.
【作者单位】: 贵州省肿瘤医院;
【分类号】:R446.5

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