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医护人员洗手后葡萄球菌带菌的调查
引用本文:邱方城,王崇玉.医护人员洗手后葡萄球菌带菌的调查[J].中华医院感染学杂志,2005,15(3):300-301.
作者姓名:邱方城  王崇玉
作者单位:十堰市人民医院,湖北,十堰,442000
摘    要:目的了解我院医护人员手携带葡萄球菌状况,以便采取有效地消毒措施控制医院感染.方法由临床各科医院感染监控员采集手标本送检,葡萄球菌鉴定及药敏试验按<全国临床检验操作规程>进行.结果 742份标本检出葡萄球菌11种209株,阳性检出率占28.2%,其中表皮葡萄球菌、金黄色葡萄球菌、人葡萄球菌检出率最高,分别占41.1%、22.0%、14.8%;金黄色葡萄球菌对青霉素、苯唑西林、复方新诺明、红霉素耐药率分别>91.9%、71.8%、63.6%、79.9%,未发现耐万古霉素株;且凝固酶阴性葡萄球菌(CNS)耐药率高于金黄色葡萄球菌.结论消毒清洗后医护人员手仍有较高的葡萄球菌携带率,其耐药谱与临床感染株基本相同,因此,应采取有效措施,切实控制.

关 键 词:医护人员手  葡萄球菌  耐药性
文章编号:1005-4529(2005)03-0300-02
修稿时间:2004年8月10日

Staphylococcus-carrying Status on Washed-hands among Medical Staff
QIU Fang-cheng,WANG Chong-yu.Staphylococcus-carrying Status on Washed-hands among Medical Staff[J].Chinese Journal of Nosocomiology,2005,15(3):300-301.
Authors:QIU Fang-cheng  WANG Chong-yu
Abstract:OBJECTIVE To investigate Staphyloccus-carrying status on washed-hands among medical staff. METHODS Staphylococcus spp identification and drug sensitivity tests were performed upon samples from hands in medical staff. RESULTS Two hundred and nine (28. 9%) isolates of 11 species of Staphylococcus were obtained from 742 samples. S. epidermidis, S. aureus and S. hominis predominanted with 41.4%, 22. 0% and 14. 8%, respectively. The resistance rate to penicillin, oxacillin, sulfasoxazole co. and erythromycin were 91. 9%, 71.8%, 63. 6% and 79. 9%, respectively. None of vancamycin resistant strain was found. Coagulase negative Staphylococcus showed great resistance than S. aureus. CONCLUSIONS Washed-hands among medical staff still carry Staphylococcus seriously, with almost same resistance profile as clinical strains.
Keywords:Hands  Medical staff  Staphylococcus  Drug resistance
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