ICU 耐甲氧西林的金黄色葡萄球菌(MRSA) 感染的调查分析和预防对策.pdfVIP

2009 N O .30 中外医疗 CHINAFOREIGNMEDICALTREATMENT 论 著 ICU 耐甲氧西林的金黄色葡萄球菌(MR SA ) 感染的调查 分析和预防对策 1 1 2 姚国平 潘虹霞 蔡波 ( 1.江苏省泰兴市人民医院感染管理科; 2 .江苏省泰兴市人民医院检验科 江苏泰兴 2 2 54 0 0 ) 【摘要】目的通过对ICU MRSA 感染进行流行病学调查,并对临床分离MRSA 和环境微生物学监测MRSA 进行耐药谱分析,探讨同 源性,依据分析信息做好预防和控制措施。方法 对2008 年11 月1 日至2009 年1 月30 日ICU 病区感染MRSA 的18 例患者及医院环 境进行了流行病学调查分析。结果 ICUMRSA 院内感染占总感染的35.3% 。且环境中空气、工勤人员、陪护人员、护士共15 1 份标本培养出MRSA9株,通过耐药谱分析显示细菌具有高度同源性。结论 此次MRSA感染为局部暴发流行,医院务必加强环境监控, 防止交叉感染,严格无菌侵入性操作和抗生素的使用原则,从而减少MRSA 院内感染的发生。 【关键词】ICU MRSA 流行病学调查 环境微生物学监测 【中图分类号】R 5 15 【文献标识码】A 【文章编号】1674 -0742 (2009) 10(c)-0007-02 【Abstract 】Obj ective To investigate the epidemic of MRSA in intensive care unit(ICU),and study the homogeneity of isolates by cluster analysis,based on analysis of information to do a good j ob of prevention and control measures 。Methods The 18 cases of infection in patients with MRSA from November 1,2008 to January 30,2009 and the hospital environment for the conduct of the analysis of epidemiological investigations in ICU .Results Infection of Mrsa accounted for 35.3 percent of total infections in ICU. Environment and air, ground crew workers,nursing staff, nurses,a total of 15 1 specimens of cultivated 9 strains MRSA,through spectral analysis showed that drug-resistant bacteria with a high degree of homology .Conclusion MRSA infection for the local outbreak, the hospital must be the strengthening of environmental monitoring, to prevent cross-infection,strict aseptic invasive procedures and the principles of the use o