本文選題：交叉感染　切入點：疾病暴發(fā)流行　出處：《中華疾病控制雜志》2016年10期

【摘要】：目的調(diào)查某院重癥監(jiān)護(hù)科發(fā)生的耐碳青霉烯鮑曼不動桿菌醫(yī)院感染暴發(fā)的原因。方法采取回顧病程記錄、實驗室檢查和前瞻性調(diào)查的方法,對2015年8月6日~27日該院重癥監(jiān)護(hù)科發(fā)生的5例下呼吸道耐碳青霉烯鮑曼不動桿菌感染進(jìn)行流行病學(xué)調(diào)查,對疑似污染環(huán)境和物品進(jìn)行微生物采樣,對細(xì)菌培養(yǎng)結(jié)果進(jìn)行微生物鑒定和藥敏試驗。結(jié)果 5例患者痰培養(yǎng)分離出耐碳青霉烯鮑曼不動桿菌,除對替加環(huán)素敏感和左氧氟沙星中介外,其他均耐藥。5例患者2例經(jīng)治療好轉(zhuǎn)出院,3例死亡。共采集環(huán)境物表標(biāo)本84份,其中從監(jiān)護(hù)導(dǎo)聯(lián)線和保潔工人手分離到耐碳青霉烯鮑曼不動桿菌。經(jīng)采取感染防控綜合措施后,控制了疫情的蔓延。結(jié)論此次重癥監(jiān)護(hù)科耐碳青霉烯鮑曼不動桿菌醫(yī)院感染暴發(fā)可能與保潔工人手和/或監(jiān)護(hù)導(dǎo)聯(lián)線污染相關(guān)。
[Abstract]:Objective to investigate the causes of nosocomial infection of Acinetobacter baumannii in a hospital. An epidemiological investigation was carried out on 5 cases of Acinetobacter baumannii infection in lower respiratory tract from 6 to 27 August 2015 in the Department of intensive Care in this hospital. The suspected contaminated environment and articles were sampled by microorganism. Results Acinetobacter baumannii was isolated from sputum culture of 5 patients, except for tegacycline and levofloxacin. Two patients with other drug resistance were cured and 3 died. A total of 84 environmental surface specimens were collected, among which Acinetobacter Carbicilli was isolated from the lead wire and the hands of cleaning workers. After the comprehensive measures of infection prevention and control were taken, Conclusion the nosocomial infection outbreak of Acinetobacter baumannii in intensive care department may be related to hand and / or lead line contamination of cleaning workers.
【作者單位】： 南京醫(yī)科大學(xué)第二附屬醫(yī)院感染管理科;
【分類號】：R446.5
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本文編號：1697779