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某综合医院多重耐药菌社区发生感染的现状调查

贾会学 贾建侠 赵艳春 赵秀莉 任军红 要慧 林金兰 李六亿

中国感染控制杂志2012,Vol.11Issue(1):21-24,4.
中国感染控制杂志2012,Vol.11Issue(1):21-24,4.

某综合医院多重耐药菌社区发生感染的现状调查

Community-onset multi-drug resistant organism infections in a general hospital

贾会学 1贾建侠 1赵艳春 1赵秀莉 1任军红 1要慧 1林金兰 1李六亿1

作者信息

  • 1. 北京大学第一医院,北京100034
  • 折叠

摘要

Abstract

Objective To realize the characteristics of community-onset multi-drug resistant organism infections (MDRO-COIs). Methods A prospective investigation was conducted on patients with positive culture of Staphylo-coccus aureus, Enterococcus,Escherichia coli , Klebsiella pneumoniae, and Acinetobacter baumannii between July 1, 2008 and June 30,2010. Results A total of 1 646 episodes of Staphylococcus aureus, Enterococcus, Acinetobacter baumannii, Escherichia coli, and Klebsiella pneumoniae infections occurred, 1 148 of which were COIs, including 470 (40.94%) MDRO infections ; 498 of which were hospital-onset (HO) infections .including 260 (52. 21%) MDRO infections, which was significantly higher than that of MDRO-COI rate (χ2 = 17. 87, P = 0. 00). MDRO-COI pathogens were mainly from sputum or bronchial secretion (171/470, 36. 38%),the next was urine( 166/470, 35. 32%), these samples accounted for 71. 70% of all. Of all departments, MDRO-COI rate was the highest in intensive care unit(ICU) (64. 75%). For the infection sites of COIs, respiratory MDRO infection was the highest (60. 71%). Conclusion MDRO-COIs are serious, the management of patients with MDRO-COIs should be enhanced, transmission in the hospital should be avoided.

关键词

多重耐药菌/社区发生感染/医院发生感染/抗药性,微生物/合理用药

Key words

multi-drug resistant organisms/ community-onset infection/ hospital-onset infection/ drug resistance, microbial/ rational use of drug

分类

医药卫生

引用本文复制引用

贾会学,贾建侠,赵艳春,赵秀莉,任军红,要慧,林金兰,李六亿..某综合医院多重耐药菌社区发生感染的现状调查[J].中国感染控制杂志,2012,11(1):21-24,4.

中国感染控制杂志

OACSTPCD

1671-9638

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