综合ICU 患者获得性医院感染病原菌耐药性及干预对策.pdfVIP

20 11 2 1 2 Ch n J N osocom ol Vo l. 2 1 No . 2 2011 337 ICU 1 1 2 鲁艳 , 程利民 , 胡艳华 ( 1. 2 . , 4 32000) : ICU , ICU ; 257 5 , 18. 3% 17 . 5% 14 . 4 % 14. 4% 8. 9% , ( M RSA) 40 . 5% ; ICU , : ; ; ; ; : R37 8 : A : 10054 529 ( 2011) Drug resistance of pathogens causing hospitalacquired infection in comprehensive ICU and intervention strategy L U Y an , CH EN G L m n , H U Y anhua ( Ce ntr al H osp i t al of X i aog an, X iaog an, H ube i 432000, Chi na) Abstract: OBJEC IVE T o nvest g ate ant m crob al res stance status of patho gens cau s ng ho sp talacqu r ed nf ect o n n ICU and nst tute nterv ent o n str ategy . ME HODS T he cl n cal data of pat ents w th ho sp talacqu r ed nf ect o n w ere analy zed t o understand the ant m cr ob al res stance rate. RESUL S A mong 257 st ra ns o f pathog ens caus ng no socom a l nf ect on , the to p f ve patho gens w er e Pse ud omonas aer ug inos a , A c inatobacter ba umann ii , K le bsiella p neunmon iae , Stap hy lococcus a ur e us and Escher ich ia coli account ng fo r 18. 3% , 17 . 5% , 14 . 4 % , 14 . 4 % , 8. 9% . T he detect on r ate of meth c ll nres stant S . a ure us ( M RSA ) w as 40 . 5% . T he ser o us ant m cr ob al res stance of co mmonly used ant b ot cs occurred n patho gens . CONCLUSION T he eff ect ve nter vent on strateg y should be adopted to contro l the ncreas ng tendency of bacter al dr ug res stance. Key words: Intens v e care un t ; N osoco m al nf ect o n; Patho gen ; Dr ug res stance; Interv ent on