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目的研究耐甲氧西林金黄色葡萄球菌(MRSA)感染患者临床分布特征,为制定预防控制方案提供依据。方法采用前瞻性调查方法,对新疆某医院MRSA感染患者进行现场调查与分析。结果调查期间该医院共查出MRSA感染患者71例,其中医院内获得感染患者54例,占76.06%;其余为社区获得感染17例。医院内获得MR-SA感染以手术部位感染和呼吸道感染为主,分别占35.19%和29.63%;社区获得MRSA感染部位以皮肤软组织和呼吸道为主,分别占58.82%和29.41%。重症监护病区MRSA感染以呼吸道感染居首位,普通病区以手术部位感染居首位。结论 MRSA感染临床分布特征与获得感染来源有密切关系,应有针对性地提出有效控制措施。
Objective To study the clinical distribution of methicillin-resistant Staphylococcus aureus (MRSA) infection and provide the basis for the development of prevention and control programs. Methods A prospective investigation was conducted to investigate and analyze the patients with MRSA infection in a hospital in Xinjiang. Results During the investigation, 71 cases of MRSA were detected in the hospital, of which 54 cases (76.06%) were infected in hospital and the rest were community acquired infections (17 cases). MR-SA infection was the main cause of surgical site infection and respiratory tract infection in hospital, accounting for 35.19% and 29.63% respectively. The community-acquired MRSA infection sites were mainly skin, soft tissue and respiratory tract, accounting for 58.82% and 29.41% respectively. MRSA infection in respiratory disease in intensive care ward ranks the first place, the common ward in the surgical site infection ranks first. Conclusion The clinical distribution of MRSA infection is closely related to the source of infection, and effective control measures should be put forward in a targeted manner.