重症监护室金黄色葡萄球菌感染干预效果观察

Intervention efficacy observation on Staphylococcus aureus infections in intensive care unit

  • 摘要: 目的 通过监测重症监护室金黄色葡萄球菌感染及耐药性变化,探讨重症监护室综合性干预对控制医院感染的作用。方法 采用回顾性分析的方法,对某医院2011年和2012年重症监护室采取综合性干预措施前后,患者金黄色葡萄球菌的分离结果进行对比性分析。结果 两年间金黄色葡萄球菌的分离率无明显差异(P>0.05),但耐甲氧西林金黄色葡萄球菌构成比明显下降,差异有统计学意义(P<0.05)。金黄色葡萄球菌对苯唑西林、环丙沙星和左氧氟沙星的耐药率明显下降(P<0.05)。两年间重症监护室金黄色葡萄球菌对万古霉素、替考拉宁、利奈唑胺、呋喃妥因和喹奴普汀-达福普汀敏感率最高,均达100.00%。结论 通过综合性干预,重症监护室金黄色葡萄球菌感染情况得到改善,耐药率总体有所下降。

     

    Abstract: Objective To discuss comprehensive intervention effect on the control of hospital infections in the intensive care unit(ICU) of a hospital by monitoring Staphylococcus aureus infections and their drug resistance.Methods Comparative analysis was done retrospectively in separation results of Staphylococcus aureus between 2011 and 2012 in ICU patients of a hospital.Results Between 2011 and 2012, there was no obvious difference found in relevance ratio of Staphylococcus aureus(P>0.05), but that of methicillin resistant Staphylococcus aureus was on the decline significantly(P<0.05). The drug resistance rates of Staphylococcus aureus to oxacillin, ciprofloxacin, levofloxacin were on the decline significantly(P<0.05). The drug susceptibility rates of Staphylococcus aureus to vancomycin, teicoplanin, linezolid, nitrofurantoin and primaquine slave tianeptine/dafoe tianeptine were the highest, reaching up to 100.00%.Conclusion By comprehensive intervention, Staphylococcus aureus infections in ICU have been improved and drug resistance rates on the decline as a whole.

     

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