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普外科医院感染特点及病原菌耐药分析

Characteristics of Hospital Infection and Bacterial Resistance in General Surgery Department

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【作者】 王美娟蒋桂娟朱萍儿黄晓明宋建文

【Author】 WANG Mei-juan, JIANG Gui-juan, ZHU Ping-er, HUANG Xiao-ming, SONG Jian-wen(Huzhou Central Hospital, Huzhou, Zhejiang 313000, China)

【机构】 湖州市中心医院普外科湖州市中心医院感染管理科

【摘要】 目的了解普外科医院感染特点及病原菌耐药情况,为临床合理使用抗菌药物和控制医院感染提供科学依据。方法采用前瞻性监测和回顾性调查相结合的方法 ,对2009年入住普外科5997例患者的临床资料进行统计分析。结果普外科医院感染发生率1.41%,例次感染发生率1.45%;感染部位以上呼吸道感染居首,占26.44%;病原菌以革兰阴性菌为主,占52.04%,其次是革兰阳性菌,占28.57%,真菌占19.39%,且对多种抗菌药物存在不同程度的耐药。结论全面系统地监测普外科医院感染特点及细菌耐药动态,对指导临床合理使用抗菌药物,有效控制医院感染具有重要意义。

【Abstract】 OBJECTIVE To understand the hospitals infection and pathogenic resistance to drugs in general surgery department, in order to provide scientific basis for the rational clinical application of antibiotics and hospitals infection control.METHODS Using a combination of prospective monitoring method and retrospective investigation, the records of 5957 patients who were admitted into general surgery department in 2009 were analyzed. RESULTS The hospitals infection rate of inpatients was found to be 1.41%. The case-time infection rate was 1.45%. The upper respiratory infection was the most common infection site (26.44%). G-, G+ bacteria, and fungi caused 52.04%, 28.57%, and 19.39% of the total infections, respectively. These different infectious pathogens also showed different degrees of resistance to various antibiotics. CONCLUSIONS It is very important to systematically monitor the infection characteristics and the drug resistance by pathogens in general surgery department. The results of this study provide the important data to guide the rational use of antibiotics and effective infection control measures.

【关键词】 普外科医院感染病原菌耐药
【Key words】 General surgeryHospital infectionDrug resistance
  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2010年11期
  • 【分类号】R446.5
  • 【被引频次】16
  • 【下载频次】153
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