|本期目录/Table of Contents|

[1]孙瑞珍.重症监护病房的医院感染临床研究[J].医学研究与战创伤救治(原医学研究生学报),2008,10(01):13-15.
　SUN Rui-zhen.A clinical study of hospital infection in intensive care unit[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(01):13-15.
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重症监护病房的医院感染临床研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年01期
页码:
13-15
栏目:
出版日期:
2008-01-20

文章信息/Info

Title:
A clinical study of hospital infection in intensive care unit
文章编号:
1672-271X(2008)01-0013-03
作者:
孙瑞珍
解放军411临床部感染管理科，上海 200081
Author(s):
SUN Rui-zhen
Department of Infection Management,the 411th Clinical Branch of PLA,Shanghai 200081,China
关键词:
ICU; 病原菌; 耐药性; 控制措施
Keywords:
Intensive care unit(ICU);  Pathogen;  Drug-resistance;  Control measures
分类号:
R195
DOI:
-
文献标志码:
A
摘要:
目的 监测重症监护病房(ICU)医院感染的发生率、常见病原菌及抗菌药物耐药性。方法 对2006年ICU病人病原菌及抗菌药物 敏感性等采取现况调查。结果 ICU病人医院感染发生率17.17%。下呼吸道感染最常见。下呼吸道分离到病原菌437株，多为多重耐药菌，其中G－菌占54.03%，真菌占26.08%，G＋菌 占19.89%。分离到泌尿道感染病原菌24株，其中粪肠球菌占33.33%、大肠埃希菌20.83%、白色念珠菌(16.66%)。结论 应加强ICU医院感染监控，重点是呼吸机相关性肺炎(VAP)的监 控，采取相应的预防措施，以控制和减少感染的发生。
Abstract:
Objective To study the incidence of hospital infection,bacterial infections,pathogens distribution and their drug-resistance characteristics in ICU.Methods The kept-canal was investigated and specimens were underwent a process of germ culture,identification and drug-sensitivity test in ICU from 2006.Results The incidence of hospital infection was 17.17% in ICU.Lower respiratory tract infection was the most familiar infection.Of all cases,437 pathogens gained from lower respiratory tract.Pathogenic bactria mostly were 19.89%.24 pathogens gained from urinary tract.Among them,33.33% were Enterococcus faecalis,20.83% were Escherichia coli,16.66% were Candida albicans.Conclusion To emphasize on the strictly control of ICU hospital infections,the main one of ventilator-associated pneumonia(VAP),and to adopt certain preventive measures are the ways to control and decrease hospital infections.

参考文献/References:

[1]中华人民共和国卫生部.医院感染诊断标准[S].中华医学杂志，2001，81(5):314-320.
[2]高 岩，李 宁，赵庆华，等.重症监护室发生呼吸机相关性肺炎的因素和对策[J].中华医院感染学杂志，2005，15(10):1198-1200.
[3]童朝辉，王 臻，王 辰，等.医院获得性肺炎克雷伯菌和大肠埃希菌下呼吸道感染及耐药分析[J].中华医院感染学杂志，2003，13(7):674-676.
[4]蔡奕娟，陈志群，徐建婷，等.ICU呼吸机相关性肺炎预防控制对策研究[J].中华医院感染学杂志，2007，17(5):522-523.
[5]郭胤仕，傅小芳，顾 琦，等.呼吸机相关性肺炎病原菌分布及其耐药性分析[J].中华医院感染学杂志，2007，17(10):1302-1304.
[6]王良平.下呼吸道病原菌分布及耐药性分析[J].中华医院感染学杂志，2007，17(10):1305-1306.
[7]黄 静，张天托，朱家馨，等.下呼吸道分离白色假丝酵母菌基因型、药敏试验和临床相关因素分析[J].中华医院感染学杂志，2007，17(10):1210-1213，1221.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-22