【摘要】 目的探讨多重耐药菌(MDRO)感染的流行特征,为预防控制医院感染提供依据。方法采用目标性监测方法对2014-01/12检测出的多重耐药菌的分布进行调查分析,并评价监测效果。结果监测多重耐药菌204株,分离率30.82%;前3位耐药菌株是产超广谱β-内酰胺酶的细菌、铜绿假单胞菌、鲍曼不动杆菌;主要分布在姑息关怀科、老年科和职业病科,分别占23.04%、21.08%和20.10%;感染部位以下呼吸道为主(73.91%);医院内感染占11.27%,2.45%未下隔离医嘱,2.45%未在病程上记录分析。结论加强多重耐药菌的监管,能有效控制其在医院内的传播,是防控医院感染发生与暴发的关键。更多还原

【Abstract】 Objective To provide the medical evidence for nosocomial infection prevention and control based on exploring the prevalence features of multidrug- resistance organism( MDRO). Methods By the using of target monitoring,the distribution of MDRO inspected was investigated from January to December 2014,and the monitoring effect was also evaluated in this study. Results There were 204 MDROs detected,which were 30. 82%of all the isolated strains; ESBLs- producing strains,Pseudomonas aeruginosa and Acinetobacter baumanni were the top 3 germs; the MDRO distributed mainly in three departments: Palliative Care( 23. 04%),Geriatrics( 21. 08%) and Occupational Division( 20. 10%); the lower respiratory tract( 73. 91%) was the main site of infection; the nosocomial infection was 11. 27%,and there were 2. 45% not isolated and 2. 45% not recorded on the medical courses. Conclusion The intensive monitoring of MDRO could help control the MDRO prevalence effectively,which was the key point to prevent the nosocomial infection occurring and outbreak.更多还原