| 摘要: |
| 目的 了解北京市三级医院重症监护病房（ICU）多重耐药菌监测及防控措施落实情况。方法 制定统一调查表，对北京市38家三级医院的ICU进行现场评估。结果 38家三级医院中有35家医院的ICU开展了多重耐药菌监测；监测占首位的多重耐药菌排名为泛耐药鲍曼不动杆菌、耐甲氧西林金黄色葡萄球菌（MRSA）、耐碳青霉烯铜绿假单胞菌、产ESBLs肺炎克雷伯菌、产ESBLs大肠埃希菌。79.0%的ICU单人间病房数量不超过5个。78.9%的医院基本能做到对多重耐药菌感染患者和普通患者分开管理。结论 多重耐药的革兰阴性杆菌是ICU最常见的病原菌。医疗资源不足加大了多重耐药菌医院感染防控的难度。 |
| 关键词: 三级医院 重症监护病房 多重耐药菌 监测 控制 |
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| Study on Surveillance and Control of Multidrug-resistant Bacteria in Intensive Care Unit |
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| Abstract: |
| Objective To investigate the current status of surveillance of multidrug-resistant bacteria and fulfillment about control measures in Beijing’s Tertiary Care Hospitals’ ICU.Methods Though designing generic evaluation forms 38 Beijing’s tertiary care hospitals’ ICU were evaluated on-site.Results In 38 tertiary care hospitals，35 hospitals carry out surveillance about multidrug-resistant bacteria.Ranking list of multidrug-resistant bacteria is pan-resistant acinetobacter baumannii，methicillin-resistant staphylococcus，pseudomonas aeruginosa，klebsiella pneumoniae and escherichia coli.78.9% hospital can separate patients who infected multidrug-resistant bacteria with general patients.Conclusion Situation about bacterial resistance is serious. Multidrug-resistant gram-negative bacteria are commonest pathogenic bacteria in ICU.Insufficiency of medical resources increase difficulty about nosocomial infection control of multidrug-resistant bacteria. |
| Key words: tertiary care hospital,Intensive Care Unit,multidrug-resistant bacteria,surveillance,control |
