脑卒中患者多重耐药菌感染调查与护理干预

目的：探讨脑卒中患者发生多重耐药菌（MDRO）感染的原因及干预措施。方法：将2011年MDRO感染患者15例设为对照组,采取回顾性调查方法;2012年32例设为观察组,采用前瞻性监测方法,比较2组患者MDRO医院感染率。结果：观察组MDRO医院感染率（5.97%）较对照组（3.01%）高,差异有统计学意义（P〈0.05）。结论：在MDRO感染监测中,前瞻性监测优于回顾性监测,能及时发现菌株并采用合理的抗菌药物治疗,落实消毒隔离措施,可有效控制MDRO感染的发生与传播。

Investigation and Nursing Intervention for Multi-drug Resistant Organism Infection of Stroke Patients

Objective： To explore the reasons and nursing interventions for stroke patients suffering from multi-drug resistant organism（MDRO） infection. Methods： Fifteen MDRO infection patients in 2011 were established as the control group and retrospectively analyzed; 32 cases in 2012 as the observation group and investigated by prospective study, nosocomial infection rate of MDRO in both groups were compared. Results： MDRO nosocomial infection rate of the observation group（5.97%） was higher than that（3.01%） of the control group, the difference showed statistical meaning（P〈0.05）. Conclusion： Prospective monitoring is superior to retrospective monitoring for monitoring MDRO infection, it could help check bacterial strain timely so that rational antibacterial drugs could be given to the patients, sterilization and isolation measures could be implemented, therefore to effectively control the incidence and the spread of MDRO infection.