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1、骨科病房对耐甲氧西林金葡菌感染的追踪分析陈志勇1王松平2（通讯作者）朱国太3（1无锡市惠山区堰桥医院骨科江苏无锡214174）（2南通大学第三附属医院骨科江苏无锡214041）（3淮安市第一人民医院骨科江苏淮安223300）目的：探讨骨科病房耐甲氧丙林金葡菌感染的原因及控制措施。方法：对2014年骨科病房属于院内感炎耐甲氧丙林金葡菌（methidllin-resistantstaphylococcusaureus,MRSA）的11例手术患者进行流行病学调查，监测骨科病房环境及医护人员中MRSA携带情况，同时对病房的医护与工勤人员进行MRSA认知调查。结果：骨科术后MRSA感染多见于年龄大
2、于50岁、女性、手术时间1小时以上、开放性创伤及使用三代头孢的患者。检测发现，骨科病房多处出现细菌超标，其中于患者床头柜分离出MRSA1例，移动查房车及医护工作牌各分离出MRSA1例，医护人员手鼻分离出MRSA3例。在对MRSA相关知识的认知调查上，在病区工作的医生、护士及工勤人员均普遍偏低。结论：骨科病房环境及医护人员均存在.携带MRSA的情况，且医护人员对MRSA认知较低，对工作人员组织培训、加强院内感染的管理和做好环境卫生是至关重要的。【关键词】耐甲氧丙林金黄色葡萄球菌；骨科；院内感染R68A1007-8231（2015）09-0210-03Trackinganalysisofth
3、emethicillin-resistantstaphylococcusaureusinfectioninorthopedicsdepartmentChenZhiyongl,WangSonghua2,ZhuGuotai3.1.DepartmentofOrthopedics,YanqiaohospitalofHuishan,Wuxi214174,China;2.DepartmentofOrthopedics,TheThirdAffiliatedHospitalofNantongUniversity,Wuxi214041,China;3.DepartmentofOrthopedics,The
4、FirstPeople'sHospitalofHuai'an,Huai'an223300,China[Abstract]ObjectiveToinvestigatethecausesandcontrolmeasuresofthemethicillin-resistantstaphylococcusaureus(MRSA)infectioninorthopedicsdepartment.MethodsAnepidemiologicalinvestigationwascarriedouton11orthopedicsdepartmentpatientswhowereinfectedwithM
5、RSAin2O14.TheMRSAinfectioninorthopedicsdepartmentenvironmentandmedicalstaffsweremonitored.Atthesametime,theMRSAcognitionsurveytothemedicalstaffswerecarryout.ResultsMRSAinfectionintheorthopedicsdepartmentwasmorecommoninpatientswith50yearsold,female,1hoursofoperation,opentraumaandusingthree-levelCe
6、phalosporinOrthopedicwardappearsexcessivebacteria,findingMRSAtothepatientbedsidecupboard(lcase),Mobileinspectiontable(lcase),workcard(lcase)andhandsornasalofmedicalstaffs(3cases).IntheknowledgeofMRSArelated,themedicalstaffsweregenerallylow.ConclusionTheenvironmentalandmedicalstaffswerecarriedonMR
7、SAintheorthopedicsdepartment,andthemedicalstaffshadalowawarenesstoMRSA.Itisveryimportanttoorganizetrainingandstrengthenthemanagementofhospitalinfectionandtomakegoodenvironmentalsanitation"【Keywords]Methicillin-resistan
