耐甲氧西林金黄色葡萄球菌在医院内的出现作为中国一家外科重症监护病房传播情况的一个指标
Occurrence of nosocomial methicillin-resistant Staphylococcus aureus as a marker for transmission in a surgical intensive care unit in China.
作者信息
Chen Yong, Zhao Wei, Liu Hui, Song Qing, Wang Yan, Zhao Jingya, Zheng Dongyu, Han Xuelin, Hu Xiaohua, Grundmann Hajo, Han Li
机构信息
Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
Department of Surgical Intensive Care Unit, Chinese PLA General Hospital, Beijing, China.
出版信息
Am J Infect Control. 2014 Apr;42(4):436-8. doi: 10.1016/j.ajic.2013.11.019.
In 2008, an intensive care unit (ICU) in a large Chinese hospital was moved from a 6-bed old ward to a 20-bed new ward. After the move, the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in patients and environmental sites decreased significantly, but the number of ICU-acquired cases per imported MRSA case increased from 1.4 to 4.1. This study suggests that the nurse cohorting level and hand hygiene compliance are strong predicators of MRSA transmission in ICUs.
2008年，中国一家大型医院的重症监护病房（ICU）从一个6张床位的旧病房迁至一个20张床位的新病房。搬迁后，患者和环境部位耐甲氧西林金黄色葡萄球菌（MRSA）的流行率显著下降，但每例输入性MRSA病例的ICU获得性病例数从1.4增加到4.1。本研究表明，护士分组水平和手卫生依从性是ICU中MRSA传播的有力预测因素。
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