Kruse E-B, Dettenkofer M
Deutsches Beratungszentrum für Hygiene, Schnewlinstr. 10, 79098 Freiburg im Breisgau.
Ophthalmologe. 2010 Apr;107(4):313-7. doi: 10.1007/s00347-009-2074-2.
Multidrug-resistant organisms (MROs) are increasing all over the world. The most important MROs are methicillin-resistant S. aureus, followed by vancomycin-resistant enterococci and extended-spectrum beta-lactamase (ESBL)-producing bacteria. The latter are not yet of much importance in ophthalmology. MROs can cause serious infections and must be considered in empiric therapy of nosocomial infections. To prevent further spread, standard and contact precautions have to be followed, and antibiotic stewardship needs to be introduced.
多重耐药菌(MROs)在全球范围内不断增加。最重要的多重耐药菌是耐甲氧西林金黄色葡萄球菌,其次是耐万古霉素肠球菌和产超广谱β-内酰胺酶(ESBL)细菌。后者在眼科领域的重要性尚不突出。多重耐药菌可引发严重感染,在医院感染的经验性治疗中必须予以考虑。为防止其进一步传播,必须遵循标准预防措施和接触预防措施,并引入抗生素管理。