烧伤病区患者创面MRSA医院感染流行的预防与控制

目的调查分析南方某医院烧伤科患者创面感染耐甲氧西林金黄色葡萄球菌（MRSA）造成局部流行的原因,并探讨预防控制对策。方法回顾分析2005年9月20-30日烧伤病区患者较为集中创面感染MRSA,对其发生原因、分布特点,耐药性进行分析。结果创面感染MRSA6例,4例为重症烧伤,2例为中度烧伤,患者全部治愈,无血液MRSA的感染,均采用万古霉素治疗;创面感染MRSA造成暴发流行与周围环境污染、无菌操作不严格致交叉感染有关。结论烧伤患者创面感染MRSA,细菌耐药性强,万古霉素有效;做好环境消毒、规范无菌操作、合理使用抗菌药物是避免交叉感染、预防和控制暴发流行的重要手段。

Hospital Infection by MRSA Popular on Wound Surface in Burn Wards:Its Prevention and Control

OBJECTIVE To analyze the reason of hospital infection by meticillin-resistant Staphylococcus aureus(MRSA) popular on the wound surface in burn wards at a hospital located in South China.The methods of prevention and control were discussed.METHODS The MRSA infections on the surface of a wound of patients in burn wards were reviewed and analyzed from Sep 20,2005 to Sep 30,2005.The occurred reasons,distributed characteristics and drug resistance were carried out on the analysis.RESULTS There were 6 cases of MRSA infection on the injured area,from them 4 with third-degree burn,and 2 with moderate burn.The patients were cured completely.There was no blood stream MRSA infection.Vancomycin was used to treat.The fulminant epidemic of MRSA infection in the injured area was related with environment pollution and cross infection caused by the imprecise aseptic operation.CONCLUSIONS The injured area of burn patient is infected by MRSA.which often has strong drug resistance,but the vancomycin is effective.The environment disinfection is important.Medical personnel's standardized aseptic operation should be strengthened.The reasonable use of antibiotics can avoid the cross infection.It is the important method to prevent and control the fulminant epidemic.