Emergence and spread of multi-drug resistant organisms: Think globally and act locally

被引：33

作者：

Tseng, Shu-Hui ^{[1
]}

Lee, Chun-Ming ^{[2
]}

Lin, Tzou-Yien ^{[3
,4
]}

Chang, Shan-Chwen ^{[5
,6
]}

Chang, Feng-Yee ^{[1
,7
]}

机构：

[1] Ctr Dis Control, Dept Hlth, Taipei 10050, Taiwan

[2] Mackay Mem Hosp, Div Infect Dis, Dept Internal Med, Hsinchu, Taiwan

[3] Chang Gung Univ, Div Pediat Infect Dis, Dept Pediat, Chang Gung Mem Hosp, Taipei, Taiwan

[4] Chang Gung Univ, Coll Med, Taipei, Taiwan

[5] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan

[6] Natl Taiwan Univ, Coll Med, Taipei, Taiwan

[7] Natl Def Med Ctr, Dept Internal Med, Taipei, Taiwan

来源：

JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION | 2011年 / 44卷 / 03期

关键词：

STAPHYLOCOCCUS-AUREUS BACTEREMIA; INTENSIVE-CARE UNITS; LENGTH-OF-STAY; METHICILLIN-RESISTANT; ANTIBIOTIC-RESISTANCE; RISK-FACTORS; ANTIMICROBIAL RESISTANCE; ACINETOBACTER-BAUMANNII; NOSOCOMIAL INFECTIONS; COLONIZATION PRESSURE;

D O I：

10.1016/j.jmii.2011.03.001

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Multi-drug-resistant organisms (MDROs) such as gram-negative Enterobacteriaceae with resistance to carbapenems conferred by New Delhi metallo-beta-lactamase (NDM-1) are increasingly recognized as a global public health issue.(1-8) The World Health Organization (WHO) has chosen antimicrobial resistance as its theme for World Health Day-7 April 2011.(9) The organization strongly recommends that governments focus control and prevention efforts in four main areas including surveillance of antimicrobial resistance; rational antibiotic use, which includes educating health care workers and the public about the appropriate use of antibiotics; introducing or enforcing legislation related to stopping the selling of antibiotics without prescription; and strict adherence to infection prevention and control measures, including the use of hand-washing measures, particularly in health care facilities to limit the spread of multi-drug resistant strains and reduce the generation of antibiotic-resistant bacteria.(10-15)

引用

页码：157 / 165

页数：9

共 66 条

[1] Risk factor's for ICU-acquired imipenem-resistant Gram-negative bacterial, infections [J].