中国感染控制杂志2017，Vol.16Issue(3)：225-228,4.DOI:10.3969/j.issn.1671-9638.2017.03.009
某综合医院医院感染病原菌临床分布及耐药情况
Clinical distribution and antimicrobial resistance of pathogens causing healthcare-associated infection in a comprehensive hospital
潘红平 1储从家 2陈丽红 2杨波 2梁超 2陈清 2黄瑜1
作者信息
- 1. 南方医科大学公共卫生与热带医学学院流行病学系,广东广州510515
- 2. 玉溪市人民医院,云南玉溪653100
- 折叠
摘要
Abstract
Objective To understand the clinical distribution characteristics and antimicrobial resistance of pathogens causing healthcare-associated infection(HAI) in a comprehensive hospital.Methods Clinical data of patients with HAI in this hospital between May 2012 and May 2015 were collected,the distribution and antimicrobial resistance of pathogens isolated from patients were analyzed.Results A total of 6 563 cases of HAI occurred among 183 850 patients,incidence of HAI was 3.57％,445 patients were isolated at least two kinds of pathogens,375 (84.27％) patients were isolated two kinds of pathogens,132 of whom were infected with both gram negative bacilli.4 478 specimens were sent for pathogenic detection,2 503 (55.90％) of which were isolated pathogens;a total of 2 755 pathogens were isolated,including 1 713(62.18％) strains of gram-negative bacilli,732(26.57％) gram positive cocci,304(11.03％) yeast-like fungi,and 6(0.22％) anaerobic bacteria.524(19.02％)strains were mainly from patients in department of neurology.The main specimen was sputum (n =1 340,48.64％).The isolation rates of carbapenem-resistant Escherichia coli (CREC),Klebsiella pneumoniae (CRKP),Acinetobacter baumnannii (CRAB),and Pseudomonas aeruginosa (CRPA) were 0.39％ (2/510),1.66％ (3/181),59.14％ (207/ 350),and 5.29 ％ (11/208) respectively;isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) was 21.55％(25/116).Conclusion Multidrug-resistant organisms causing HAl are various,it is necessary to understand distribution characteristics and prevalence of pathogens,monitor multidrug-resistant organisms,and implement contact isolation measures,so as to prevent the outbreak of HAI.关键词
医院感染/病原菌/分布/特征/抗药性,微生物/耐药性Key words
healthcare-associated infection/pathogen/distribution/characteristic/drug resistance/microbial分类
医药卫生引用本文复制引用
潘红平,储从家,陈丽红,杨波,梁超,陈清,黄瑜..某综合医院医院感染病原菌临床分布及耐药情况[J].中国感染控制杂志,2017,16(3):225-228,4.
