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目的了解医院感染多重耐药菌分布情况,以便加强耐药菌感染管理。方法通过回顾性调查和标本检测方法,对某县医院住院患者多重耐药菌感染及病原菌分布进行监测。结果该医院2012年从住院患者感染标本中共分离出多重耐药菌62株,居前5位的菌株分别是大肠埃希菌、耐甲氧西林金黄色葡萄球菌、铜绿假单胞菌。主要分布在脑泌外科、普胸外科。结论医院感染多重耐药菌以革兰阴性杆菌为主,主要防控措施是严格消毒隔离和合理使用抗菌药物。
Objective To understand the distribution of multiple drug-resistant bacteria in hospital infection in order to strengthen the management of drug-resistant infections. Methods By means of retrospective investigation and specimen detection, the inpatients with multiple drug-resistant bacterial infections and pathogen distribution in a county hospital were monitored. Results A total of 62 multidrug-resistant strains were isolated from hospitalized patients in 2012. The top 5 strains were Escherichia coli, methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa. Mainly distributed in brain surgery, general thoracic surgery. Conclusion The multi-drug-resistant bacteria in hospital are Gram-negative bacilli. The main prevention and control measures are strict disinfection and isolation and rational use of antibacterial drugs.