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Distribution and Preventive Measures of Nosocomial Infection of Acinetobacter Bauman in Hospital |
HUANG Qun, et al |
Chengde Prison Hospital, Hebei Chengde 067000, China |
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Abstract Objective: To analyze the distribution characteristics and drug resistance of pathogens causing nosocomial infection in hospitalized patients, and to explore the prevention and control measures of nosocomial infection. Methods: 648 cases of nosocomial infection were collected in our hospital during the past 6 years, and the positive strains were selected. The sources, bacterial spectrum and drug resistance of the specimens were analyzed. Results: The incidence of lower respiratory tract infection and wound infection in hospitalized patients was higher, and there was significant difference compared with other sites (P<0.01); The infection of Bauman and Staphylococcus aureus was more common, and compared with other bacteria species, there were significant differences (P<0.01, P<0.05); The infection of Acinetobacter baumannii was sensitive to imipenem and Cefoperazone / sulbactam, but the drug resistance rate was on the rise with the duration of administration of Bauman. Conclusion: Bauman Acinetobacter infection rate is higher in hospitalized patients. With the extension of the drug and the increase in the types of drugs, The rate of drug resistance is more and more high. In order to prevent and correct diagnose and treat, positive measures should be take.
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[1] 罗兴文,魏龙.慢性阻塞性肺疾病患者医院肺部感染的相关危险因素分析[J].新疆医学,2016,46(1):39~41. [2] 董雪梅,易敏.住院患者医院感染分析[J].中国卫生产业,2015,1(29):34~35. [3] 李光荣,卢灵峰,向成玉,等.医院分离多重耐药鲍曼不动杆菌耐药基因的研究[J].国际检验医学杂志,2016,37(5):602~605. [4] 中华人民共和国卫生部医院感染诊断标准(试行)[J].中华医学杂志,2001,81(5):314~320. [5] Chang C J,Ye J J,Yang C C,et al.Influence of third-generation cephalosporin resistance on adult in-hospital mortality from post-neurosurgical bacterial meningitis[J].Microbiol Immunol Infect,2010, 43( 4):301~309. [6] 李帅.院内感染常见病原菌分布及耐药性分析[J].中国现代药物应用,2016,10(1):161~162. [7] 国家卫生计生委合理用药专家委员会.2015年全国细菌耐药监测报告[J].中国执业药师,2016,13(3):1~8. [8] 贾永娟,马芳军,唐文,等.医院感染主要病原菌分布及耐药性分析[J].生物技术世界,2015,1(4):90~91. [9] 乔莉,张劲松,徐继扬,等.江苏地区4所教学医院鲍曼不动杆菌血流感染预后的危险因素分析[J].临床急诊杂志,2016,17(12):920~923. [10] 吴汀溪,马思宇,程晟,等.鲍曼不动杆菌耐药性与抗菌药物使用强度相关性分析[J].中国消毒学杂志,2016,33(12):1776~1778. [11] Fu Y, Zhou J, Zhou H,et al.Wide dissemination of OXA-23-producing carbapenem-resistant Acinetobacter baumannii clonal complex 22 in multiple cities of China[J].Antimicrob Chemother,2010, 65 (4) :644~650. [12] 兰海平,黄旭晴,吕群.呼吸机相关性肺炎病原菌分析与耐药性研究[J].中华医院感染学杂志,2015,(5):984~986. |
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