外科理论与实践 ›› 2023, Vol. 28 ›› Issue (05): 420-424.doi: 10.16139/j.1007-9610.2023.05.05

• 专家论坛 • 上一篇    下一篇

外科病人耐药菌感染的防控

谭若铭, 瞿洪平()   

  1. 上海交通大学医学院附属瑞金医院重症医学科,上海 200025
  • 收稿日期:2023-08-02 出版日期:2023-09-25 发布日期:2024-01-04
  • 通讯作者: 瞿洪平 E-mail:hongpingqu0412@hotmail.com
  • 基金资助:
    上海申康医院发展中心临床科技创新项目(SHDC22021212)

Prevention and control of multidrug-resistant bacteria infection in surgical patients

TAN Ruoming, QU Hongping()   

  1. Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2023-08-02 Online:2023-09-25 Published:2024-01-04

摘要:

外科病人耐药菌感染现状日益严峻,而有效预防ICU病人耐药菌交叉传播及各常见部位感染发生是关键环节。针对耐药菌防控的关键问题,实施综合防控策略。通过对病人进行早期识别、抢先隔离、主动筛查、分级防控等核心措施,并联合常见感染部位的目标性预防措施,形成针对ICU病人的耐药菌感控体系,并通过前移、外推至普通病房,从而最大化进行耐药菌防控,有效降低外科病人耐药菌定植/感染发生率。

关键词: 耐碳青霉烯革兰阴性菌, 重症监护病房, 感染防控

Abstract:

The current situation of multidrug-resistant bacteria infection in surgical patients is becoming increasingly severe. Effective prevention of cross transmission of multidrug-resistant bacteria and common site infections in ICU patients is the key step. In response to the key issues in the prevention and control of multidrug-resistant bacteria infection, a comprehensive strategy is implemented. Core measures such as early recognition, preemptive isolation, active screening, and graded prevention and control are taken for patients, and targeted preventive measures for common infection sites are combined to form a detection and control system of multidrug-resistant bacteria for ICU patients. By moving forward and extrapolating to the general ward, the prevention and control system effectively reduced the incidence of multidrug-resistant bacteria colonization/infection in surgical patients.

Key words: Carbapenem-resistant Gram-negative bacteria, Intensive care unit, Infection control and prevention

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