耐甲氧西林金黄色葡萄球菌院内感染研究进展

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5.5 开展MRSA 院内感染的监测工作监测工作不仅应包括院内环境和消毒灭菌效果的监测, 还应包括医护人员、探视人员、住院及入院患者携带MRSA 的监测, MRSA 耐药性的监测以及抗生素的使用种类和数量的监测等。通过长期的科学的监测工作, 不仅可以掌握MRSA 的分布特点、流行规律, 还可以对MRSA 院内感染的发生、发展进行预测, 从而为院内感染的控制和预防提供科学的依据。因此, 积极地开展MRSA 院内感染的监测工作是控制MRSA 院内感染的重要环节。

除此之外, 鼓励患者进行适当的锻炼, 提高自身的抵抗力; 加强MRSA 感染的宣传教育, 提高人们的认识; 深化管理,完善各项规章制度等对控制和预防MRSA 院内感染也十分有益。

总之, MRSA 院内感染的形势已经相当严峻, 如何避免院内感染的发生是摆在每一个医务人员面前的一个迫切需要解决的问题。药物治疗在过去的几十年里, 一直占据着主导地位, 然而感染者的不断增加、耐药株的不断出现都充分显示了它的局限性, 而控制和预防措施的实施则在很大程度上弥补了这些缺陷。因此, 治疗的同时进行控制和预防, 才是降低MRSA院内感染的最好选择。

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来源：实用医学杂志作者：邹红波，江凌晓