| 医院感染控制中耐甲氧西林金黄色葡萄球菌筛查现状 |
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| 引用本文： | 吴文娟,汤一苇. 医院感染控制中耐甲氧西林金黄色葡萄球菌筛查现状[J]. 传染病信息, 2009, 22(1): 54-57 |
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| 作者姓名： | 吴文娟 汤一苇 |
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| 作者单位： | 上海市(复旦大学附属)公共卫生临床中心,上海,201508;美国范德堡大学医学中心,那什维尔,37232;美国范德堡大学医学中心,那什维尔,37232 |
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| 摘 要： | 由于耐甲氧西林金黄色葡萄球菌（methicillin—resistant Staphylococcus aureus，MRSA）在医院和社区的感染人数快速增加，MRSA医院内感染的预防和控制迫在眉睫。目前，MRSA筛查技术包括标准培养、显色鉴定培养基和基于PCR的快速检测技术。用于MRSA筛查的方法测试周期应低于24h，且能在包含甲氧西林耐药凝固酶阴性葡萄球菌和甲氧西林敏感金黄色葡萄球菌的混合菌群中鉴别MRSA。MRSA筛查结果可指导接触预防感染控制措施的执行。然而，“MRSA筛查-接触预防”感染控制策略受较多因素影响，几项大规模前瞻性观察研究显示MRSA快速筛查能否预防MRSA传播和感染尚有争议。医院内MRSA筛查并不能阻止抗生素耐药的发展和MRSA的进化，其目的是降低医院内感染率和避免患者严重感染。
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| 关 键 词： | 耐甲氧西林金黄色葡萄球菌 筛查 感染控制 |
MRSA screening in nosocomial infection control:state-of-the-art |
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| Wu Wenjuan,Tang Yiwei. MRSA screening in nosocomial infection control:state-of-the-art[J]. Infectious Disease Information, 2009, 22(1): 54-57 |
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| Authors: | Wu Wenjuan Tang Yiwei |
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| Affiliation: | Wu Wenjuan,Tang Yiwei Shanghai Public Health Clinical Center,Fudan University,Shanghai 201508,China |
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| Abstract: | Disease burden caused by methicillin-resistant Staphylococcus aureus (MRSA) in both hospital and community settings has been escalating,so prevention and control strategies are receiving increased attention. Currently available screening methods for MRSA include standard culture,several commercially available chromogenic agar media and PCR-based testing. An ideal MRSA screening method can provide test results within 24 hours with abilities to identify MRSA from mixed flora of methicillin-resistant coagulase... |
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| Keywords: | methicillin-resistant Staphylococcus aureus (MRSA) active surveillance infection control |
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