Botzenhart K, Rüden H, Krasemann C
Prakt Anaesth. 1976 Oct;11(5):327-33.
Quantitative determinations of antibiotic susceptibility established that infections occurring in intensive care units were predominantly exogenous cross infections. The most frequently isolated strains were: Klebsiella, Enterobacteriaceae, Serratia marcescens and Proteus mirabilis. The majority of the strains showed multiple resistance. Despite adequate antibiotic therapy a number of patients died of the infection. Many of the methods of disinfection were found to be inadequate, especially as regarded washbasins, face flannels, ultrasound inhalers, respirators and other apparatus. The fact that many of the isolated strains are capable of multiplying in water is not receiving sufficient attention.
对抗生素敏感性的定量测定表明,重症监护病房发生的感染主要是外源性交叉感染。最常分离出的菌株为:克雷伯菌属、肠杆菌科、粘质沙雷氏菌和奇异变形杆菌。大多数菌株表现出多重耐药性。尽管进行了充分的抗生素治疗,但仍有一些患者死于感染。许多消毒方法被发现是不充分的,尤其是洗脸盆、面巾、超声雾化器、呼吸器及其他器械方面。许多分离出的菌株能够在水中繁殖这一事实没有得到足够的重视。