上海市某区医院MRSA感染现状研究

目的了解上海市某区综合性医院院内耐甲氧西林金黄色葡萄球菌(MRSA)感染现状及分布特点,以便加强防控措施。方法通过回顾性调查方式,对上海市某区4所综合性医院住院病人中MRSA感染现状进行调查与分析。结果所调查的4所医院在2008年度共发现金黄色葡萄球菌感染患者248例,其中MRSA感染203例,占金黄色葡葡球菌感染的81.85%。全院住院病人中MRSA感染发病率为2.68‰,病人主要分布于ICU,占32.5%。医院MRSA感染患者预后不良,病死率高达27.59%。结论该区4所综合性医院住院病人MRSA感染率为2.68‰,MRSA在检出的金黄色葡葡球菌中占81.85%,需要加强ICU MRSA感染的防控措施。

STUDY ON THE CURRENT SITUATION OF NOSOCOMIAL MRSA INFECTION IN CERTAIN DISTRICT HOSPITAL OF SHANGHAI

Objective To investigate nosocomial MRSA infection situation and distribution in general hospitals in certain district of Shanghai,in order to strengthen the prevention and control measures.Methods The retrospective investigation was used to survey and analyze the situation of MRSA infection inpatients in 4 comprehensive hospitals in certain district of Shanghai.Results 248 patients infected with Staphylococcus aureus were found in 4 investigated hospitals in year 2008 and 203 cases infected with MRSA that accounted for 81.85% of Staphylococcus aureus infection.The hospital inpatients of MRSA infection was 2.68‰ of all the inpatients of this hospital that was mainly in ICU,accounted for 32.5% of all the infections.The prognosis of hospital MRSA infection patients was so bad and the case fatality rate was up to 27.59%.Conclusion The inpatient MRSA infection rate is 2.68‰ in the 4 general hospitals and the MRSA infections accounted for 81.85% of Staphylococcus aureus infections,so the prevention and control measures in ICU should be strengthened.