某医院ICU金黄色葡萄球菌感染临床分布及其耐药性

发布时间：2018-05-28 07:58

本文选题：金黄色葡萄球菌 + 重症监护病房　；参考：《中国消毒学杂志》2014年07期

【摘要】：目的了解某驻军医院重症监护病房(ICU)金黄色葡萄球菌感染临床分布及其耐药性现状,为制定防控措施和合理选用抗菌药物提供依据。方法通过回顾性调查方法,对某驻军医院ICU病人送检标本检测结果进行调查与分析。我院2011年1月至2013年9月ICU送检标本中分离出的金黄色葡萄球菌(SA)的分布及药敏结果。结果在调查期间从该医院ICU住院病人送检标本中共分离出金黄色葡萄球菌289株,耐甲氧西林菌株(MRSA)占检出总数的89.6%。病人感染金黄色葡萄球菌有71.6%分离自痰标本,其次是分泌物和尿液标本。临床分离的金黄色葡萄球菌对多种抗菌药物呈普遍耐药,但未分离出耐万古霉素菌株。结论该医院ICU住院病人中检出的金黄色葡萄球菌主要是MRSA菌株,应加强ICU病人送检标本多重耐药菌监测。
[Abstract]:Objective to investigate the clinical distribution and drug resistance of Staphylococcus aureus infection in an intensive care unit (ICU) of a garrison hospital, and to provide evidence for the formulation of preventive and control measures and the rational selection of antimicrobial agents. Methods A retrospective investigation was carried out to investigate and analyze the results of ICU patients in a garrison hospital. Distribution and antimicrobial susceptibility of Staphylococcus aureus isolated from ICU samples in our hospital from January 2011 to September 2013. Results during the investigation period 289 strains of Staphylococcus aureus were isolated from ICU inpatients in this hospital and 89 6 strains of methicillin-resistant strains were detected. 71.6% of patients infected with Staphylococcus aureus were isolated from sputum, followed by secretions and urine samples. Staphylococcus aureus was generally resistant to many antimicrobial agents, but vancomycin resistant strains were not isolated. Conclusion Staphylococcus aureus isolated from ICU inpatients in this hospital is mainly MRSA strain. The multidrug resistant bacteria surveillance of ICU patients should be strengthened.
【作者单位】：解放军第152中心医院;解放军63979部队卫生所;
【分类号】：R187

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