本文關(guān)鍵詞： 綜合重癥監(jiān)護(hù)病房 多藥耐藥菌 醫(yī)院感染 干預(yù)對(duì)策　出處：《中華醫(yī)院感染學(xué)雜志》2016年02期 　論文類型：期刊論文

【摘要】：目的對(duì)綜合重癥監(jiān)護(hù)病房(ICU)多藥耐藥菌(MDROs)感染情況進(jìn)行分析,并制定相應(yīng)的干預(yù)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(biāo)本2 168份進(jìn)行分析,對(duì)培養(yǎng)陽(yáng)性的病原菌篩選出MDROs,并分析其類型及分布構(gòu)成等。結(jié)果 2 168份標(biāo)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(dòng)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(jié)論 MDROs感染多由于醫(yī)院感染而引起,因此,應(yīng)加強(qiáng)醫(yī)院感染管理,制定切實(shí)可行的管理制度,提高ICU護(hù)理人員洗手依從性,嚴(yán)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(duì)杭州醫(yī)院ICU;武警浙江省總隊(duì)杭州醫(yī)院檢驗(yàn)科;
【基金】：浙江省醫(yī)藥衛(wèi)生基金資助項(xiàng)目(2012KYB198)
【分類號(hào)】：R446.5

【相似文獻(xiàn)】

相關(guān)期刊論文 前2條

1 袁智慧;何勤;陳毅;袁靜;;綜合ICU患者多藥耐藥菌感染分析[J];中華醫(yī)院感染學(xué)雜志;2014年15期

2 ;[J];;年期

，

本文編號(hào)：1507813