医院感染_____老年护理院；医院感染；病原菌；耐药性

老年护理院医院感染病原菌及其耐药特征分析

http://www.100md.com 《中华现代内科学杂志》 2006年第6期

医院感染,,老年护理院；医院感染；病原菌；耐药性,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的探讨目前老年护理医院院内感染病原菌及其耐药特征。方法对2000年4月~2004年3月徐汇区两家老年护理院出院病人的病史进行统计分析。结果两家老年护理院共计发生医院感染939例次，医院感染率12.86%，检出病原菌284株，阳性率30.28%；病原菌以革兰阴性菌为主，占44.65%,其次为真菌、革兰阳性菌，分别为29.12%、25.92%，位于前3位的病原菌分别为其他真菌(14.36%)、白色念珠菌(12.23%)、铜绿假单胞菌(8.69%)；除嗜麦芽寡养单胞菌外，革兰阴性菌以亚胺培南最敏感，敏感率87%，对氨苄西林、阿莫西林的耐药率>51%，对头孢哌酮、哌拉西林的耐药率>33%；MRSA和MRSE的检出率高达86.76%和76.32%；混合感染率34.51%。结论老年护理院医院感染率高，真菌所占的比例高；细菌对抗菌药物的耐药性相当严重。

    【关键词】老年护理院；医院感染；病原菌；耐药性

    To analyse the pathogens and characteristics of antimicrobial resistance of the compound infection in age care hospital

    CHAI Huifen，CAO Xizhen，YU Shengqi.

    Changqiao Community Health Center, Xuhui District, Shanghai 200237,China

    【Abstract】 Objective To explore the pathogens and characteristics of antimicrobial resistance of the compound infection in age care hospital.Methods To do statistical analysis on the data of discharged patients from two age care hospital in Xuhui district from April 2000 to March 2004.Results There are 938 cases of compound infection in the two age care hospital.The compound infection rate is 12.85%.We find out 284 strains of pathogens,the positive rate is 30.28%;the primary pathogens is Gramnegative (44.65%),the second and third is fungi(29.12%) and Grampositive(8.69%),the next three one is fungi(14.36%),Candida(12.23),Pseudomonas aeruginosa(8.69%)；except Stenotrophomonas maltophilia the Gramnegative is sensitive to imipenem, the sensitive rate of it is 87%,the resistance rate to ampicillin,amoxycillin is above 51% ......

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