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1、我院常見多重耐藥菌感染監(jiān)測的分析韓雪花1葛海燕錢瑋和2(1.江蘇省淮安市第二人民醫(yī)院感染管理處江蘇淮安223002)(2.江蘇省淮安市第二人民醫(yī)院檢驗科江蘇淮安223002)【摘要】目的：對我院多重耐藥菌患者感染的情況進(jìn)行分析，為臨床治療與控制在院內(nèi)傳播提供依據(jù)。方法：對我院2014年上半年住院患者的標(biāo)木進(jìn)行細(xì)蘭培養(yǎng)及耐藥蘭分析。結(jié)果：947株病原菌中多重耐藥菌(MDRO)290株，占分離菌株的30.6%；檢岀率依次為鮑曼不動桿菌63株(21.7%)、銅綠假單胞菌60株(20.7%)、粘質(zhì)沙雷菌46株(15.9%)、肺炎克雷伯菌30株(10.3%)、耐甲氧西林金黃色葡萄球菌(MRSA)22株
2、(7.6%)，大腸埃希菌18株(6.2%｝、液化沙雷菌12株(4.1%)；感染高?？剖覟镮CU,腦復(fù)蘇、呼吸內(nèi)科、神經(jīng)內(nèi)科、神經(jīng)外科。結(jié)論：多重耐藥菌感染呈上升趨勢，應(yīng)加強多重耐藥菌的監(jiān)測，正確對抗生素的合理應(yīng)用，防止多重耐藥菌醫(yī)院感染的發(fā)生與傳播?！娟P(guān)鍵詞】多重耐藥菌：感染監(jiān)測；藥敏【中圖分類號】R51【文獻(xiàn)標(biāo)識碼】B【文章編號】1003-5028(2015)8-0759-02SurveillanceandanalysisofMDRIBinfectioninhospitalXuehuaHan;HaiyanGe;WeiheQian(1.DepartmentofInfectionManagem
3、ent,2.ClinicalLaboratory,theAffiliatedHuai’anHospitalofXuzhouMedicalCollege,Huai’an223002,P.R.China.)【Abstract】ObjectiveToretrospectivelyanalyzetheMDRBinfectionstatusofclinicalisolatesanddrugresistanceinhospital，inordertoprovideaneffectivebasisforcontrolofMDRBnosocomialinfection.Methods
4、MDRBisolatesinhospitalbetweenJanuary1andJune30in2014wereidentifiedbyDLmedicalmachineandconductedantibioticsensitivitytestbyKirby-Bauermethod.Results947strainsofpathogenicbacteria(MDRO)multi-resistantbacteriain290strains,accountingfor30.6%oftheisolatedbacteriastrains;63strainsofacinetobacterbaumanni
5、irankedfirst(21.7%),followedby60strainsofpseudomonasaeruginosa(20.7%),46strainsofSerratiamarcescens(15.9%),30strainsofklebsiellapneumoniae(10.3%),22strainsofmethicillin-resistantstaphylococcusaureus(MRSA)(7.6%),18strainsofescherichiacoli(6.2%)and12strains(4.1%)ofSerratialiquefaciens.Departmentswith
6、high-riskinfectionarethatofICU,brainrecovery,respiratorymedicine,neurologyandneurosurgerysubsequently.Conclusion:Multi-drugresistancebacteriawasontheriseaccompanyingbyseriousdrugresistance,soMDRBmonitoringshouldbestrengthenedtocontrolnosocomialinfectionsandoutbreakofMDRB.【KeyWords】Multi-drugresista
7、ntbacteria(MDRB);Pan-resistantbacteria;Bacterialresistancesurveillance;Antimicrobialsusceptibilitytesting.多重耐藥菌主要是對臨床使用的3類或3類以上的抗菌藥物冋吋呈現(xiàn)耐藥的細(xì)菌。隨著各種廣譜抗生素的過度應(yīng)用，導(dǎo)致多重耐藥菌的出現(xiàn)并H日益增多。多重耐藥菌的感染，不僅加重了患者的病情，給患者帶來較大的痛苦；冋
