外科多重耐药菌的分析与护理干预研究

目的 了解外科多重耐药菌的种类及分布情况，为临床采取护理干预措施提供参考依据。方法 采用细菌分离培养方法 ，对外科送检标本进行病原菌和多重耐药菌分布情况调查和分析。结果 从外科2012年的住院患者389份标本中分离出病原菌145株（37．3％），其中多重耐药菌31株（21．4％）．主要分布在伤口分泌物，脓液中22株（71．0％），在尿液中5株（16．1％），在痰液中3株（9．7％）。多重耐药菌居前3位的菌种依次是产ESBLs大肠埃希菌、耐甲氧西林金黄色葡萄球菌（MRSA）和产ESBLs肺炎克雷伯菌。结论 外科住院患者标本中检出多重耐药菌比例较高，主要分布在伤口分泌物，脓液中，应针对外科多重耐药菌分布特点采取有效的护理干预措施，有效地预防和控制多重耐药菌的产生和传播。

Analysis and nursing intervention on multi-drug resistant organism in surgical department

Objective To study the types and distribution of multi-drug resistant organism in surgical department,to provide reference for better nursing interventions in clinic.Methods Isolation and culture of bacteria was used to investigate and analyze the pathogens and multi-drug resistant organism of specimens in surgical department.Results In 389 specimens,145 （37.3%） pathogens were isolated,of which 31 （21.4%） were multi-drug resistant organism,21 （71.0%） out of the 31 were found in wound secretions/pus,5 （16.1%） were found in urine,3 （9.7%） were found in sputum.The commonest types of multi-drug resistant organism were ESBLs-producing Escherichia coli, Methicillin-resistant staphylococcus aureus （MRSA） and ESBLs-producing Klebsiella pneumoniae.Conclusion Multi-drug resistant organism take up a relatively high proportion in the specimens and they exist mainly in wound secretions/pus.Therefore,intervention measures should be taken according to these distribution features of multi-drug resistant organism.