Resistant Bacteria Infection in Earthquake Casualty:Clinical Analysis and Countermeasure / 中华医院感染学杂志

ABSTRACT

OBJECTIVE To understand the resistant bacteria infection condition of earthquake casualty and provide evidence for reducing their transmission in hospital.METHODS The staff members of Department of Hospital Infection Management monitored the bacteria cultures and report 38 resistant bacteria infective wounded every day.Set up the system measures to manage resistant bacteria infection of earthquake casualty and monitored,guided and checked the implement countermeasures.RESULTS Among 419 samples,there were 70 resistant bacteria and 97.1% were G-bacteria,the main pathogens were Acinetobacter baumannii,Pseudomonas aeruginosa,Enterobacter cloacae,Klebsiella pneumoniae,and Escherichia coli.The main infective sites were respiratory tract and wounds.The resistant bacteria had the high drug resistance to the third and fourth cephalosporins,aminoglycosides and sulfonamides.The sensitive rate to amikacin,gentamicin,imipenem,piperacillin/tazobactam,sulfamethoxazole/trimethoprim compound,tobramycin and nitrofurantoin.CONCLUSIONS Real-time monitoring the earthquake casualty with resistant bacteria infection can find the infective wounds in time and make effective intervention measures.It is the important method to prevent and control the hospital infection.