耐甲氧西林金黄色葡萄球菌感染临床分布特征

目的研究耐甲氧西林金黄色葡萄球菌(MRSA)感染患者临床分布特征,为制定预防控制方案提供依据。方法采用前瞻性调查方法,对新疆某医院MRSA感染患者进行现场调查与分析。结果调查期间该医院共查出MRSA感染患者71例,其中医院内获得感染患者54例,占76.06%;其余为社区获得感染17例。医院内获得MR-SA感染以手术部位感染和呼吸道感染为主,分别占35.19%和29.63%;社区获得MRSA感染部位以皮肤软组织和呼吸道为主,分别占58.82%和29.41%。重症监护病区MRSA感染以呼吸道感染居首位,普通病区以手术部位感染居首位。结论 MRSA感染临床分布特征与获得感染来源有密切关系,应有针对性地提出有效控制措施。

CLINICAL DISTRIBUTION CHARACTER OF METHICILLIN-RESISTANT Staphylococcus aureus INFECTION

Objective To study the clinical character of patients with methicillin-resistant Staphylococcus aureus(MRSA) infection,in order to provide a basis for effective preservation measures of MRSA infection.Methods The prospective monitoring methods was used to investigate and analyze clinical data of patients who were hospitalized from January 2011 to June 2011 and infected with MRSA.Results There were 71 patients infected with MRSA.Of them 76.06% were gained in hospital,other were gained in community.The hospital-acquired MRSA were mainly the surgical site infection(35.19%) and skin-soft tissue infection(29.63%).The community-associated MRSA infections were mainly skin-soft infection(58.82%)and respiratory tract infection(29.41%).The respiratory tract infection was the main infection site in ICU,the surgical site was the main infection site in the general ward.Conclusion There are close relationship between MRSA infection character and acquired infection source,and we should take appropriate control measures.