普外科多药耐药菌感染的临床特点及环境清洁消毒标准化干预措施预防效果评价

发布时间：2018-11-09 16:06

【摘要】：目的研究普外科多药耐药菌感染的临床特点及环境清洁消毒标准化干预措施预防效果,为临床治疗提供参考依据。方法选取医院普外科于2014年1月-2016年5月期间98例出现多药耐药菌感染的患者作为对象,观察多药耐药菌种类及分布;同时比较在按照环境消毒标准化措施干预后,多药耐药菌的变化及病房清洁率情况。结果对98例感染灶分泌物进行培养,共检测出270株致病菌,其中203株为多药耐药菌,占75.19%;多药耐药菌检出以呼吸系统为主,共151株占74.38%;与未进行环境清洁消毒标准化措施干预相比,在环境清洁消毒标准化措施干预后可显著降低多药耐药菌浓度(P0.05);在对普外科病房表面物体按照环境清洁消毒标准化措施干预后,物体表面的清洁率由40.55%提升至71.24%,干预前后比较,差异有统计学意义(P0.05)。结论多药耐药菌的耐药率较高,临床医师应根据病原学检查结果及药敏监测,针对性使用抗菌药物,同时应严格按照环境清洁标准干预措施实施,降低病房多药耐药菌感染。
[Abstract]:Objective to study the clinical characteristics of multidrug resistant bacteria infection in general surgery and the preventive effect of environmental cleaning and disinfection standardized intervention measures to provide reference for clinical treatment. Methods from January 2014 to May 2016, 98 patients with MDR infection in general surgery department in hospital were selected as objects, and the type and distribution of MDR bacteria were observed. At the same time, the changes of multidrug resistant bacteria and the cleaning rate of wards were compared after intervention according to environmental disinfection standardization measures. Results among the 270 strains of pathogenic bacteria, 203 strains were multidrug resistant bacteria (75.19%), and 151 strains (74.38%) were mainly found in respiratory system. Compared with the intervention of environmental cleaning and disinfection standardization measures, the concentration of multidrug resistant bacteria decreased significantly after the intervention of environmental cleaning and disinfection standardization measures (P0.05). After intervention on surface objects in general surgical ward according to environmental cleaning and disinfection standardized measures, the cleaning rate of surface was raised from 40.55% to 71.24. The difference was statistically significant before and after intervention (P0.05). Conclusion the rate of multidrug resistance of multidrug resistant bacteria is high. According to the results of etiological examination and drug sensitivity monitoring, the clinicians should use antimicrobial agents pertinently, at the same time, the intervention measures should be carried out strictly in accordance with the environmental cleaning standard to reduce the infection of multidrug resistant bacteria in wards.
【作者单位】：衢州市中医医院十病区肝胆心胸外科;
【分类号】：R446.5

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