摘要
目的调查某院ICU下呼吸道鲍曼不动杆菌感染的危险因素和传播媒介,为采取有效的预防和控制措施提供依据。方法对某院ICU病房7例病人2011年11月21日～12月26日发生下呼吸道鲍曼不动杆菌院内感染进行流行病学调查分析。结果在ICU病房33d内陆续出现7例病人发生下呼吸道鲍曼不动杆菌院内感染,其中3例为泛耐药鲍曼不动杆菌暴发,其他4例为多耐药菌株的散发病例。结论患者基础疾病严重、侵入性操作过多,部分医务人员无菌观念淡薄、长期使用抗菌药物等是造成此次流行的主要原因,医务人员、保洁人员手及医疗环境污染是主要的传播媒介。
Objective To investigate the risk factor and the vehicle of the patient infected by acinetobacter baumanii in ICU,and provide reliable evidence for preventing and controlling nosocomial infection.Methods To study the epidemiology of 7 inpatients who were infected acinetobacter baumannii in ICU from November 21 to December 26,2011.Results There were 7inpatients developed lower respiratory tract infection of acinetobacter baumanii within 33 days.Three cases for the PDA A.baumanii outbreak,other 4 cases which was MDR A.baumanii send out cases.Conclusions The spread of MDR A.baumanii nosocomial infection within the same period was because of using lots of invasive operation toward the patients,some staff lack of aseptic concept,abusing of antibiotic drugs,etc.Medical personnel,cleaning personnel hand and medical environment pollution is the main communication medium.
出处
《齐齐哈尔医学院学报》
2012年第22期3128-3130,共3页
Journal of Qiqihar Medical University
