查詢結果分析
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頁籤選單縮合
題 名 | 某醫院加護病房Acinetobacter baumannii群突發調查=An Outbreak of Acinetobacter baumannii Infection in an Intensive Care Unit |
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作 者 | 鄭舒倖; 莊意芬; 朱芳業; 彭成立; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:4 2001.08[民90.08] |
頁 次 | 頁205-215 |
分類號 | 419.38 |
關鍵詞 | 加護病房; 靜止桿菌; 群突發; Intensive care unit; Acinetobacter baumannii; Outbreak; |
語 文 | 中文(Chinese) |
中文摘要 | 本院的成人加護病房在西元一九九八年三月至六月間發生靜止桿菌(Acinetobacter baumannii)之群突發。十八個病人共發生十九人次的院內感染及六人次的呼吸道菌叢移生。其中有七人次的血流感染,七人次的下呼吸道感染,四人次的中心靜脈感染,及一人次的中樞神經系統感染。六位菌叢移生的病人有三位繼發血流感染。環境菌種與病人菌種以抗生素敏感性分型及分子生物分型(Enterobacterial repetitive intergenic consensus polymerase chain reaction),有十種不同分型在本加護病房流行,其中三種導致病人感染。採個案 - 對照研究法針對個案組 (18人)與對照組 (36人) 做危險因子的分析及預後的比較,發現A. baumannii感染/移生的病人,多有慢性肝病 (33% vs. 6%,p=0.003)的宿疾,危險因子為使用呼吸器 (100% vs. 45%,p=0.002),使用第三代頭芽孢子素(28% vs. 3%,p=0.018),及接受外科手術 (83% vs. 50%,p=0.017)。 A. baumannii的感染導致住加護病房的時間加長 (32.94±22.85 天 vs. 9.08±15.67天,p<0.05),及院內感染率增高 (66人次/千人日 vs. 28 人次/千人日,p<0.05)。呼吸管路的培養發現遭A. baumannii的污染。我們除了強調洗手,教育加護病房護士如何保持呼吸管路避免污染及積水,也矯正呼吸器潮濕瓶換水的方法,在六月下旬終止這次的群突發。 B. (感控雜誌2001;11:205-15) |
英文摘要 | Between March and June, 1998, there was an outbreak of Acinetobacter baumannii infection in the adult intensive care unit at Taoyuan General Hospital. Nineteen episodes of nosocomial infections developed in 18 patients. A. baumannii was isolated from the blood (7 cases), the lower respiratory tract (7 cases), and the central venous catheter (4 cases), and specimens from central nervous system (1 case). Six patients were colonized with A. bauman- nll in the respiratory tract, and blood stream infections developed in 3 of them. Ten different molecular types could be identified by the "enterobacterial repetitive intergenic consensus polymerase chain reaction" method. To assess the potential risk factors associated with A. baumannii infections, a retrospective case-control study was carried out. The 18 cases were compared with the 36 age-matched controls. Ventilator usage (100% vs. 45%, p=0.002), administration of third generation cephalosporins (28% vs. 3%, p=0.018), and surgical interventions (83% vs. 50%, p=0.017) were seen more frequently among the A. baumannii infected cases. These patients also tended to have chronic liver diseases (33% vs. 6%, p=0,003), suffered from longer stay in the ICU (mean of 32.94 ± 22.85 days vs. 9.08 ± 15.67 days, p<0.05), and had a higher incidence of nosocomial infections during the same period of time (66 episodes/i,000 patient-days vs. 28 episodes/I,000 patient-days, p<0.05). The ventilator conduits were highly contaminated with A. baumannii in these cases. Emphasis of the aseptic handling of ventilators and the frequent hand- washing curtailed the outbreak. (Nosocom Infect Control d 2001:11:205-15) |
本系統中英文摘要資訊取自各篇刊載內容。