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耐碳青霉烯类鲍曼不动杆菌暴发感染原因分析 被引量:8

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摘要 目的:探讨某院2013年第4季度耐碳青霉烯类鲍曼不动杆菌(CARB)暴发感染的原因,并总结预防控制措施。方法:对CARB感染患者进行流行病学、环境卫生学、抗菌药物累计敏感性及使用情况分析。结果:CRAB感染患者存在高龄、住院时间长、基础疾病多、侵入性操作、意识障碍、肝肾功能不全、应激性溃疡、入住ICU以及多重感染等多种高危因素。33.33%的工作人员手卫生超标。CRAB对头孢哌酮/舒巴坦耐药率最低。发现CRAB前患者100%用过广谱抗菌药物,70%用量不足;发现CRAB后主要治疗用药100.00%用量不足。结论 :CARB感染暴发可能原因:(1)患者存在多种高危因素;(2)CRAB可能通过医护人员的手传播;(3)广谱抗菌药物用量不足,可能诱导CRAB。
出处 《实用医学杂志》 CAS 北大核心 2015年第1期101-103,共3页 The Journal of Practical Medicine
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参考文献10

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