重症监护病房铜绿假单胞菌医院感染暴发调查与对策.pdfVIP

250 2011 21 2 Chin J Nosocom iol Vol. 21 No. 2 20 11 秦桂英, 杨泽敏, 谢容, 龙盛双, 邱隆敏 ( , 563003) : ( ICU) , !, ! 100. 0% 66. 7% 50. 0% 40. 0% 40. 0% 25. 0% 16. 7% , : , / / 1 , , , : ; ; ; + : R378. 99 1 : A : 20 11) Outbreak of p seudomonas aer uginosa causing nosocomial infection in intensive care unit:investigation and strategy QIN Guiyin , YANG Zemin, XIE Ron , LONG Shen shuan , Q IU Lon min ( The Af f i l iated H osp it al of Z uny i M ed ic al Coll eg e, Z uny i, G uiz hou 563003, Chi na) Abstract: OBJECTIVE T o investi ate an out break of Pse ud omonas aer ug inos a nosocomial infect ion in an intensive care unit and find out the cause, the risk factor in order to provide the effective strate y to control the same event of nosocomial infection. METHO SThe samples were collected accordin to the re ulation specified by Hospital De ermation T echnolo ical Specification. Aft er that, the isolat ion, culture, and identificat ion as well as susceptibility test of bacteria were carried out accordin National Clinical Laboratory Operatin Instruction. RESULTST he detect ion rate of P . aerug inosa w ere 100. 0% from sputum aspirator dish samples. 66. 7% from attendance workers∀ hands, 50. 0% of water tap, 40. 0% of corru ated pipe of breathin machine, 40. 0% of cure dish, 25. 0% of hdoctors∀ hands and 16. 7% of bedside cupboard in the ICU . The P . aer ug inosa isolated from both sputum sample of patient and environment have t he same antibiotic sensit ivity spect rum w hich w as sensitive to ciproflox acin, amikacin, and tobramycin but resistive to