摘要
目的调查多药耐药鲍氏不动杆菌造成医院感染的原因及传播途径,探讨预防控制对策。方法对2008年10月重症监护病房(ICU)发生下呼吸道多药耐药鲍氏不动杆菌医院感染8例患者进行流行病学分析。结果 ICU13 d内陆续发生8例患者下呼吸道多药耐药鲍氏不动杆菌医院感染,8例患者均有严重的基础疾病,7例患者使用呼吸机,2例患者下呼吸道标本中分离出同一克隆株的多药耐药鲍氏不动杆菌。结论 ICU布局流程不合理、个别医务人员无菌观念淡薄、无菌操作执行不严格、手卫生落实不到位和使用呼吸机辅助通气、应用广谱抗菌药物等因素可能引起下呼吸道多药耐药鲍氏不动杆菌医院感染。
OBJECTIVE To investigate the reason of transmission of multi-drug resistant Acinetobacter baumannii causing nosocomial infection to explore the prevention and control measures.METHODS The lower respiratory tracts of eight patients infected by multi-drug resistant A.baumannii were conducted the epidemiological analysis.RESULTS Within 13 days in the ICU,eight cases of lower respiratory tract with multi-drug resistant Acinetobacter baumannii nosocomial infection were occurred one after another,all of the 8 patients had severe underlying diseases,7 patients have used a breathing machine,2 cases of lower respiratory tract specimens in patients were isolated the multidrug-resistant strains of the same clone A.baumannii.CONCLUSION The irrational ICU layout and process,the dim aseptic idea of some medical personnel,the unimplemented hand hygiene,the use of ventilator-assisted machine and the application of extend-spectrum antimicrobial agents and other factors may lead to the lower respiratory tract multi-drug resistant A.baumannii nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第17期2675-2676,共2页
Chinese Journal of Nosocomiology
关键词
重症监护病房
多药耐药
鲍氏不动杆菌
医院感染
Intensive care unit
Multi-drug resistance
Acinetobacter baumannii
Nosocomial infection
