中国感染控制杂志2016，Vol.15Issue(5)：341-343,347,4.DOI:10.3969/j.issn.1671-9638.2016.05.014
某综合ICU耐碳青霉烯鲍曼不动杆菌下呼吸道医院感染暴发调查
An outbreak of healthcare-associated carbapenem-resistant Acinetobacter baumannii lower respiratory tract infection in an intensive care unit
陈春燕 1黄冰冰 1罗培燕 1吴惠萍1
作者信息
- 1. 重庆黔江中心医院，重庆 黔江 409099
- 折叠
摘要
Abstract
Objective To investigate the causes of a suspected outbreak of lower respiratory tract infection (LR-TI)caused by carbapenem-resistant Acinetobacter baumannii (CRAB)in the general intensive care unit(ICU)of a hospital,and provide scientific evidence for effective control of healthcare-associated infection(HAI).Methods Epi-demiological investigation on patients infected with CRAB and on-site monitoring on ICU environmental hygiene from March 4 to 23,2014 were performed,active prevention and control measures were taken.Results A total of 7 patients developed CRAB infection,the total length of stay during epidemic period were 160 days,the infection density of LRTI was 43.75‰(7/160),4 of 5 patients at No.02 bed had CRAB LRTI.Univariate analysis revealed that adopting conventional sputum suction procedure was a risk factor;the qualified rate of bacterial count on the object surfaces was 31 .75% (20/63).CRAB was also isolated from outer frame of suction device of No.02 bed, which had the same antimicrobial pattern as CRAB from 7 patients’sputum.After taking a series of controlling measures,there was no CRAB infection case after March 24,2014,this outbreak was effectively controlled. Conclusion This suspected HAI outbreak may be caused by inadequate disinfection of outer frame of suction device contaminated by CRAB,and horizontally transmitted through manipulation of sputum suction by health care workers.Clean and disinfection of ICU environmental object surfaces is of great importance for preventing HAI.关键词
耐碳青霉烯类鲍曼不动杆菌/鲍曼不动杆菌/下呼吸道感染/医院感染/暴发Key words
carbapenem-resistant Acinetobacter baumannii/Acinetobacter baumannii/lower respiratory tract in-fection/healthcare-associated infection/outbreak分类
医药卫生引用本文复制引用
陈春燕,黄冰冰,罗培燕,吴惠萍..某综合ICU耐碳青霉烯鲍曼不动杆菌下呼吸道医院感染暴发调查[J].中国感染控制杂志,2016,15(5):341-343,347,4.
