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目的研究医院病人多重耐药菌感染分布,加强防控措施。方法采用临床标本检测方法,对某医院住院病人送检标本进行检测与分析。结果共检出多重耐药菌124株,其中医院内获得感染占67.7%,社区获得感染占32.3%。多重耐药菌中,产ESBLs大肠埃希菌占41.13%,MRSA占37.90%。感染患者主要分布在ICU和神经内外科。感染部位主要是呼吸道,泌尿道和手术切口感染。结论该医院多重耐药菌感染以呼吸道为主,应重点加强危重病人呼吸道的管理。
Objective To study the distribution of multiple drug-resistant bacterial infections in hospital patients and to improve prevention and control measures. Methods The clinical specimen testing method was used to detect and analyze the specimens of inpatients in a hospital. Results A total of 124 multidrug-resistant strains were detected, of which 67.7% were hospital-acquired and 32.3% were community-acquired. In multiple drug-resistant strains, ESBLs-producing Escherichia coli accounted for 41.13% and MRSA accounted for 37.90%. Infected patients are mainly located in the ICU and neurosurgery. Infections are mainly respiratory, urinary tract and surgical incision infection. Conclusion The multi-drug-resistant bacterial infection in the hospital mainly respires to the respiratory tract. Emphasis should be placed on strengthening the management of the respiratory tract in critically ill patients.