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題 名 | 某教學醫院燒傷加護病房Methicillin抗藥性金黃色葡萄球菌感染之調查研究=Methicillin-resistant Staphylococcus Aureus Infection at the Burn Unit in a Teaching Hospital |
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作 者 | 王麗華; 楊麗瑟; 潘惠如; 邵文逸; 張瑛瑛; 孫春轉; 黃秀梅; 張上淳; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 9:3 1999.06[民88.06] |
頁 次 | 頁125-134 |
分類號 | 419.38 |
關鍵詞 | Methicillin抗藥性金黃色葡萄球菌; 燒傷; Methicillin-resistant stapylococcus aureus; MRSA; Burn; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來methicillin抗藥性金黃色葡萄球菌(methicllin-resistant Staphylococcus aureus, MRSA)已成為院內感染的重要致病菌,在教學醫院中燒傷病人的院內感染MRSA也漸漸成為主要感染細菌;由北部某教學醫院的統計發現,1989年1月至1991年9月該院搬遷至新建築前,MRSA僅占燒傷病房院內感染菌株的7.1%,1991年9月搬遷後至 1995年12月,MRSA占30.1%,高居首位。此研究是針對該教學醫院自1991年9月至1995年12月燒傷加護病房之所有病人為對象,調查其MRSA感染之情形。該時段合計共有247個入院病人,男女比例是1:2.48,平均年齡是29.7歲(1-89歲),診斷以火燒傷(flame burn)最多占49.8%,平均燒傷面積是29.9%(0.3-100%),平均住院天數18.1天(1-162天)。247位個案中有55位MRSA培養陽性個案,其中一位是入院傷口篩檢即培養出MRSA;54人共109次院內MRSA培養陽性,其中發生院內感染是52人次,感染部位分別是皮膚感染21人次、血流感染18人次、呼吸道感染5人次、傷口感染5人次、其它部位感染3人次。扣除一入院即MRSA陽性者以246個個案作統計分析,以Cox's proportional hazard model分析顯示MRSA陽性與病人之燒傷面積具統計相關。 |
英文摘要 | Methicillin-resistant Staphylococcus aureus (MRSA) has become an important nosocomial pathogen. It is also a common pathogen for burn patients. According to the data from a teaching hospital in northern Taiwan, MRSA accounts for 7.1% of total nosocomial pathogens in their burn unit during January 1989 to September 1991 before moving to a new building. After moving to a new building, MRSA accounts for 30.1% of total nosocomial pathogens in their burn unit during September 1991 to December 1995. In order to understand the risk factors and situation of MRSA nosocomial infections and colonizations in the burn unit, we prospectively collected all cases at the burn unit in a teaching hospital during September 1991 to December 1995 and analysed them. Totally. 247 burn patients hospitalized in the burn unit during the study period, with an average age of 29.7 years. The male to female ratio was 1:2.48. The most common diagnosis was flame burn (49.8%). The average burn area was 29.9% (0.3∼100%). The average length of stay in the burn unit was 18.1 days (1∼162 days). Among the 247 patients, 55 were found to be MRSA positive (colonization+infection). One of them was community-acquired, the others were hospital-acquired. Among the total of 109 episodes of MRSA positive, casesduring the period time in thehospital. 52 had MRSA nosocomial infection; 21 of them had skin infection, 18 with blood strain infection, 5 with respiratiory tract infection, 5 with wound infection and 3 with other site infection. By Cox's proportional hazard-model analysis, the most correlated factor for MRSA infection and colonization was the burn area. |
本系統中英文摘要資訊取自各篇刊載內容。