综合医院多药耐药菌的目标性监测与控制对策

目的 目标性监测综合医院住院患者多药耐药菌情况.方法 通过医院LIS系统每日查阅细菌室报告单及医院感染专职人员去细菌室调查相结合,收集多药耐药菌资料.结果 233株多药耐药菌中神经内科占27.9％,ICU占21.9％,神经外科占13.7％；多药耐药菌检出率为38.2％,其中以ESBLs最多,占47.2％；其次为多药耐药/泛耐药鲍氏不动杆菌(MDR/PDRAB)、MRSA.结论 将多药耐药菌医院感染控制方案纳入医疗质量管理体系,多部门协作做好多药耐药菌的医院感染预防控制工作.

Target surveillance of multidrug-resistant bacteria and control measures in general hospital

OBJECTIVE To develop target surveillance of multidrug-resistant organism in inpatients in general hospital.METHODS The data on multidrug-resistant bacteria were collected by checking daily report from bacterial room through LIS system combined with investigating the bacterial room by the professional staffs.RESULTS Among 233 strains of multidrug-resistant bacteria,27.9% were in department of neurology,21.9% were in ICU,and 13.7% were in department of neurosurgery;the detection rate of MDRO was 38.2%,among which ESBLs-producing bacteria were predominant,accounting for 47.2%,followed by MDR/PDR-AB and MRSA.CONCLUSION It is necessary to incorporate control program for multidrug-resistant bacteria infection into medical quality management system,and the multi-sectoral collaboration is key to prevent nosocomial infections.