Multidrug-resistant organisms causing healthcare-associated infection and comprehensive intervention in a neurological intensive care unit
10.3969/j.issn.1671-9638.2016.02.012
- VernacularTitle:神经科重症监护病房医院感染多重耐药菌及综合干预效果
- Author:
Weijia YIN
- Publication Type:Journal Article
- Keywords:
neurological department;
intensive care unit;
multidrug-resistant organism;
pathogen;
intervention;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2016;15(2):117-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the infection caused by multidrug-resistant organisms(MDROs)in a neurological in-tensive care unit (Neuro-ICU),and evaluate the effect of comprehensive intervention measures.Methods Targeted monito-ring on MDROs among patients who hospitalized in a Neuro-ICU for >48 hours between March and December 2011 was implemented,comprehensive intervention measures were taken,MDRO infection before and after intervention was com-pared.Results A total of 932 patients were monitored,72 (7.73%)developed MDRO healthcare-associated infection (HAI);the top five MDROs were Acinetobacter baumannii ,Klebsiella pneumoniae ,Pseudomonas aeruginosa ,Staphylo-coccus aureus ,and Escherichia coli .The main infection site of MDRO infection was lower respiratory tract,followed by urinary tract and bloodstream.Detection rates of MDROs before and after intervention were 11.70%(n=55)and 3.68%(n=17)respectively(χ2 =16.675,P <0.001).Conclusion Patients in Neuro-ICU are prone to develop MDRO infection, comprehensive intervention measures can reduce the incidence of HAI.
