外科危重患者泛耐药病原菌的预防及治疗

目的调查近两年泛耐药病原菌的分布,其产生的特定环境及高危因素,探讨预防及治疗策略。方法回顾性分析2005年1月-2007年1月泛耐药病原菌的分布及高危因素。结果泛耐药病原菌分布集中在2005年1月-2006年1月间11例,采用综合的抗感染治疗后2006年1月-2007年1月仅1例感染泛耐药病原菌。结论建立耐药监控体系,采用综合的抗菌药物治疗控制病原菌耐药;对于高危患者提早有效的隔离,并限制碳青酶烯类抗菌药物的使用,以降低泛耐药病原菌的产生及发展。

Prevention and Treatment Policy of Pan-drug Resistant Bacteria for Surgical Critical Patients

OBJECTIVE To investigate the distribution scope of the pan-drug resistant bacteria in the SICU patients including their producing environment and high risk factors in these two years and to approach its prevention and treatment policy. METHODS The distribution scope and the high risk factors of the pan-drug resistant bacteria in SICU were reviewed and analyzed from Jan 2005 to Jan 2007.RESULTS There were 11 cases in the period from Jan 2005 to Jan 2006; and was only 1 case from Jan 2006 to Jan 2007. CONCLUSIONS To establish the drug resistance monitoring system, attach great importance to isolation and education, to monitor the original region of the pan-drug resistant bacteria, and to adopt the comprehensive antibiotic policy to control the drug resistant bacteria. Among them, the early effective isolation of high risk patients may be very effective to reduce the producing and developing of the pan-drug resistant bacteria.