本文關鍵詞： 綜合重癥監(jiān)護病房 多藥耐藥菌 醫(yī)院感染 干預對策　出處：《中華醫(yī)院感染學雜志》2016年02期 　論文類型：期刊論文

【摘要】：目的對綜合重癥監(jiān)護病房(ICU)多藥耐藥菌(MDROs)感染情況進行分析,并制定相應的干預措施,以減少耐藥菌的產(chǎn)生。方法收集2010年4月-2014年2月在醫(yī)院綜合ICU 305例住院患者的送檢標本2 168份進行分析,對培養(yǎng)陽性的病原菌篩選出MDROs,并分析其類型及分布構成等。結果 2 168份標本中共分離出病原菌814株,其中MDROs 408株,排名前3位的菌株依次為鮑氏不動桿菌、銅綠假單胞菌、肺炎克雷伯菌;MDROs感染部位以呼吸道和血液為主,分別占70.5%和13.0%。結論 MDROs感染多由于醫(yī)院感染而引起,因此,應加強醫(yī)院感染管理,制定切實可行的管理制度,提高ICU護理人員洗手依從性,嚴格控制和監(jiān)督器械和材料的消毒工作,降低MDROs感染的發(fā)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.
【作者單位】： 武警浙江省總隊杭州醫(yī)院ICU;武警浙江省總隊杭州醫(yī)院檢驗科;
【基金】：浙江省醫(yī)藥衛(wèi)生基金資助項目(2012KYB198)
【分類號】：R446.5

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本文編號：1507813