【摘要】 目的 研究ICU(重症监护病房)医院感染的病原菌及耐药性，为合理使用抗生素提供依据，探讨有效的感染管理措施，预防和控制耐药菌的传播。 方法 对2003年送检的ICU患者各种标本分离的菌株进行分析统计。 结果 所有的病原菌中，G - 杆菌占58.1%，其中鲍曼不动杆菌占18.1%，铜绿假单孢菌16.4%，嗜麦芽窄单孢菌13.6%，药敏显示各菌耐药水平较高;G + 球菌占27.2%，金黄色葡萄球菌10.3%，94.6%为耐甲氧西林金黄色葡萄球菌(MRSA)，表皮葡萄球菌11.9%，100%为耐甲氧西林表皮葡萄球菌(MRSE);真菌占14.7%。 结论 加强ICU感染管理和对细菌耐药性的监测，合理使用抗菌药物，是减少和延缓耐药菌株产生的关键。应制定有效的对策，从而达到降低医院感染的目的。

    关键词 ICU 细菌 耐药性 感染管理

    Analysis of pathogenic bacteria of nosocomical infection in intensive care unit and its infection administration

    Ge Huifang，Yong Lingdi，Zhang Aihua，et al.

    Department of Infection Administration，The Affiliated Hospital of Jiangsu University，Zhenjiang212001.

    【Abstract】 Objective The purpose of this essay was to study the pathogens of nosocomical infection and their drug-resistance in intensive care unit(ICU)so as to provide evidence for the usage of antibiotics reasonably，go further into effective administrative measures and prevent the spread of drug-resistance bacteria in ICU.Methods Various strains of isolated bacteria from patients in ICUwere statistically analyzed in2003.Results Of all strains ......