重症监护室工作人员鼻腔带菌状况的调查

目的调查重症监护室工作人员鼻腔带菌状况,为预防医院感染提供参考依据。方法通过采集鼻腔黏膜分泌物并进行细菌培养和分离鉴定,对114名重症监护室工作人员鼻前庭分泌物标本进行了检测。结果在4个工作日共采集114名工作人员鼻腔分泌物标本,共检出致病菌20例,重症监护室工作人员鼻腔致病菌携带率为17.54%。共检出金黄色葡萄球菌18例,占15.79%;其中耐甲氧西林金黄色葡萄球菌8例,构成比为44.44%。另外检出肺炎球菌和大肠埃希菌各1例。结论重症监护室医务人员鼻腔中带有致病菌,部分为耐药严重的条件致病菌,应引起重视。

SURVEY ON THE SITUATION OF BACTERIA NASAL CARRIAGE OF STAFF IN INTENSIVE CARE UNIT

Objective To investigate the situation of bacteria nasal carriage of staff in intensive care unit in order to provide basis for prevention of nosocomial infection. Methods Nasal fossae secretion of 114 staffs in intensive care unit was collected and bacterial culturing and isolation and identification were made for the samples. Results Pathogenic bacteria in 20 cases were found among the samples of 114 staff in intensive care unit during 4 working days and nasal bacteria carrying rate of staff in intensive unit was 17.54%. Staphylococcus aureus were found in 18 cases,accounting for 15.79%. The methicillin-resistant S. aureus were found in 8 cases and the constituent ratio was 44.44%. In addition 1 case of Pneumococcus and Escherichia coli were detected respectively in the test. Conclusion There are pathogenic bacteria in the nasal cavity of staff in intensive care unit,including opportunistic pathogen which is severe drug-resistant. So much attention should be paid.