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| 某医院多重耐药菌监测结果与感染现状分析 | |
| 引用本文： | 胡亚会,阎颖,康运凯,王璐璐,谢辉. 某医院多重耐药菌监测结果与感染现状分析[J]. 中国消毒学杂志, 2021, 38(2): 127-129. DOI: 10.11726/j.issn.1001-7658.2021.02.014 |
| 作者姓名： | 胡亚会 阎颖 康运凯 王璐璐 谢辉 |
| 作者单位： | 郑州人民医院 |
| 基金项目： | 河南省医学科技攻关计划联合共建项目(2018020824);河南省医学教育研究项目(Wjlx2018286)。 |
| 摘 要： | 目的了解医院多重耐药菌(MDROs)的感染情况及分布特征,为临床合理用药和医院感染防控提供依据。方法采用目标性监测方法,对某医院住院患者的MDROs感染与耐药情况进行了调查与分析。结果在2016—2018年期间共检测住院患者送检标本56 680份,监测出细菌感染患者10 228例,发生MDROs感染患者1 626例,MDROs感染构成比为15.9%。MDROs以多重耐药鲍曼不动杆菌和产超广谱β-内酰胺酶大肠埃希菌为主,构成比分别为34.69%和24.11%。MDROs主要分离自痰液、尿液和血液,构成比依次为56.64%、15.88%和8.29%。MDROs感染患者主要来自重症监护病房,占MDROs感染患者总数的46.19%。结论该医院MDROs感染率仍处于较高水平,应加强高危人群的监控及细菌耐药监测,规范抗菌药物的合理使用。 |
| 关 键 词： | 多重耐药菌 医院感染 监测 |
The goal surveillance and infection status of multidrug-resistant organisms in a hospital |
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| HU Ya-hui,YAN Ying,KANG Yun-kai,WANG Lu-lu,XIE Hui. The goal surveillance and infection status of multidrug-resistant organisms in a hospital[J]. Chinese Journal of Disinfection, 2021, 38(2): 127-129. DOI: 10.11726/j.issn.1001-7658.2021.02.014 | |
| Authors: | HU Ya-hui YAN Ying KANG Yun-kai WANG Lu-lu XIE Hui |
| Affiliation: | (Zhengzhou People's Hospital,Zhengzhou Henan 450000,China) |
| Abstract: | Objective To understand the infection status and distribution characteristics of multidrug-resistant organisms( MDROs) in a hospital,so as to provide a basis for clinical rational drug use and nosocomial infection prevention and control. Methods The MDROs infection and drug resistance of inpatients in a hospital were investigated and analyzed by targeted surveillance method. Results A total of 56 680 specimens from hospitalized patients were tested from 2016 to 2018,of which 10 228 patients with bacterial infection were monitored and 1 626 patients with MDROs infection were detected,with MDROs infection composition ratio of 15. 9%. MDROs were mainly multidrug-resistant Acinetobacter baumannii and extended spectrum β-lactamase-producing Escherichia coli,with composition ratios of 34. 69% and 24. 11%,respectively. MDROs were mainly isolated from sputum,urine and blood,with composition ratios of 56. 64%,15. 88% and8. 29%,respectively. MDROs infected patients mainly came from intensive care unit,accounting for 46. 19% of the total number of MDROs infected patients. Conclusion The infection rate of MDROs in this hospital is still at a relatively high level. The monitoring of high-risk groups and bacterial resistance should be strengthened,and the rational use of antibiotics should be standardized. |
| Keywords: | multidrug-resistant organisms(MDROs) nosocomial infection surveillance |
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