��ˮ�硰��ˎ��,��҇��ر�ˮ��z��68�N��

��r�g��2014-06-03 10:06 ��Դ��Ƽ��Ո� ��: �� x��1389

��ˮ��ˎ��غ��ʹ��ص��h

��2014��9�ڡ��ƌWͨ��,��A�|��W,��ͬ��W��A��W��о��F꠹�ͬ��ɵ�һ��о��棬��Q,��҇��ر�ˮ�к��68�N��,��90�N�ǿ��t(y��)ˎ�ɷֱ��z��һ�r�g,��“��ˮ��ͬ��ˎ”��Փ��̉m��,��Ҳ�ٴα��Ƶ��L��˼⣬�ɞ��˂����Մ�Y,��

��ՄՓ��ͬ�r,��Ɇ��ؾ���ر�ˮ�Йz�y��ô�໯�Wˎ��,��P��ص�ʹ��`�^(q��)��Щ,��w�a(ch��n)��Σ��᣿��@Щ��},��Ƽ��Ո�ӛ�߲��L�˽��܊��t(y��)Ժ��һ��t(y��)Ժ��ԭ304�t(y��)Ժ��ˎ��ˎ��΄��,��

��

ˮ�a(ch��n)�B(y��ng)ֳ׌�ر�ˮ“�”��

��P��صĶ��x��ٶȰٿ��@�ӽ�ጵ�,��ָ��΢����,��ž��٣��ߵȄ�ֲ��^��a(ch��n)��ľ��п��ԭ�w��Ե�һμ��x�a(ch��n)��,��ܸɔ_����l(f��)��ܵĻ��W��|,��

“ͨ�׵��v��ؾ��ί��N��Ⱦ��²�΢��Ⱦ��ˎ���ǲ��ֿ��ؾ��ˎ��,��翹�[��,��ˣ��ÿ��ˎ��濹��@һ��ʴ_,��΢��ȡ���أ�,��˹��ϳɻ�ȫ�ϳɵĻ��Wˎ�”��f,��

��J��,��Ŀǰ��҇��ر�ˮ��ڿ��ˎ�ﺬ��Ć��},��Ҫ��Ⱦ��Դ��ˮ�a(ch��n)�B(y��ng)ֳ�I(y��),��߀��ˮ��t(y��)ˎ��I(y��)�򹤘I(y��)�Uˮ��ŷ��Լ��r(n��ng)�I(y��),��B(y��ng)ֳ�I(y��)��ֱ��ŷŻ��B�V��,��@Щ��Ⱦ��ɵر�ˮ�п��ˎ�ﳬ�ˡ�

��ÿ��ˎ

�҇��E��r�Ȟ��

��ꖽ�B,��Ŀǰ��õĿ��ˎ��Ҫ�֞�˴��,��β-����ù����^�߾���,��,��ĭh(hu��n)����Zͪ�,��~��;��Ƅ��,��ù�أ����f��ù�غ��濼��,��h(hu��n)��,��

“�҇��ǿ��ˎ��ԭ��ˎ��a(ch��n)��Ҳ��ϞE�ÿ��ˎ��صć��֮һ,��”��f��Ŀǰ��Ҋ�Ŀ��؞E�Æ��}��Ҫ��t(y��)��C��,��Ⱥ�w��B(y��ng)ֳ�I(y��)��,��

�t(y��)��C��؞E��Ҫ��F(xi��n)�У��ȣ��o�m��Y��ˎ,��ڲ��t(y��)��ڿ��ˎ��m��Y�Ϳ��Vȱ��˽�,��ˎ��(j��)��ֵ��r�£��x�ÏV�V��ˎ��,��ѿ��ˎ��A��ί��΢��Ⱦ�ļ��,��ʹ�Ì��ԭ�w�oЧ�Ŀ��ˎ���t(y��)��o�μ��Ը�ð�Ļ��_�߿��ˎ��,��o��g��L�ڴ��ʹ�ÿ��ˎ��ȬF(xi��n)��t(y��)��C��д��,��

��,��ˎ��Ŀǰ��t(y��)��C��_ʼ��ҕ��ˎ��ù��,��(li��n)�ÿ��ˎ�N��^��򲻺��,��l��Qˎ�ʹ�ÿ��ˎ���ƫС��^��,��^�L��^�̵Ȇ��}�r�аl(f��)��,��

��ˎ;��,��T�\�t(y��)��ˎ��w�ȵ��;��ͷֲ��r,��u�r��߲��p�ء��Ⱦ�ļ��N��˵��w��|��r,��һζ�J��o�}ݔҺ��ˎ�ȿڷ�ˎ��Ч��,��Ч�죬��´��T�\��ʹ��ע����ˎ��,��

�ڄ��ꖿ��,��Ⱥ�w�Ĳ��ˎ��TҲ�ǿ��ˎ��E�õ��Ҫԭ��֮һ��\��,��ُˎƷ�ĬF(xi��n)��ஔ�ձ�,��ټ�ͥ�ﶼ��Сˎ�䣬�^��(sh��)ˎƷ��ˎ��ُ�I�Ŀ��ˎ��,��һ��^ʹ�X��W��Ծ��ÿ��ˎ��,��ͬ�r��ö�N��ˎ�

“�B(y��ng)ֳ�I(y��)��҇��ˎ��E�õ��һ��Ҫ��Դ,��҇��a(ch��n)�Ŀ��ˎ��н�һ��B(y��ng)ֳ�I(y��),��؄e��С�B(y��ng)ֳ��У��صĞE��ѵǷ��O,��H��ʹ�þ��Ї��ض��õ��ѱ��̭�Ŀ��,��B��߀��ԇ�õ�ĳЩ�¿��Ҳ��ڄ���B(y��ng)ֳ�I(y��)��ˎ��ʹ�ñO(ji��n)��y,��صĭh(hu��n)��Ⱦ��ʳ�￹��ˎ���,��”��f��

��ˎ

��ز��ˎ

�ճ��,��һ��ѿ��خ��ˎ,��J��Ì��w��o��K��,��ָ��,��ˎ��ָ��װY��Ӯa(ch��n)��ጷŵ�ˎ�ʹ�װY��Ԝp�p��,��ˎ��“�׷Q”,��t(y��)�W�ϵĽ��(zh��n)ʹ��ˎ��õ��а�˾ƥ��,��,��ҵȡ��@�ˎ��ֱ��ᘌ��װY,��ǌ��Y�ί�,��ˎ��ᘌ��װY�ļ��ƻ򚢜粡ԭ��,��ǌ��ί�,��ϰ��f��ˎ��ָ�Ŀ��ˎ��,��

“��,��ǲ�ͬ��ˎ���Ԍ��ص�ͬ��ˎ��ðˎ,��Ǵ��ˎ��һ��`�^(q��),��؃H�H�m��ɼ��װY��͵��װY,��粡��װY,��^��װY��|��Ƥ�ף��׃�B(t��i)��װY��^��ȟo��װY�oЧ,��”��ꖏ��{,��

“��ˎ��ĞE�ã��ʹ��ˎ�a(ch��n)��ˎ��,��”��f,��ˎ��ĞE��ʹԭ��Ч�Ŀ��ˎ��ѽ�(j��ng)��Ч��Ƹ�Ⱦ�ˣ��Ͼ��ÿ��ù��G��ˎ��,��20��o40��H1%,��oĩ�t��90%��ϡ��R��Ч�Ŀ��ˎ��Ҳ��ѳ��F(xi��n)��ˎ��,��²��߀��N��ˎ��ʬF(xi��n)��ˎ��,��“��ˎ��”��ʹĳЩ��ظ�Ⱦ�ߟoˎ��,��ڃ�ͯ��ء�

��t(y��)Ժ��Ⱦ��N��׃��,��1920��,��t(y��)Ժ��Ⱦ��Ҫ��ԭ��1960�꣬�a(ch��n)��ͼ��ֵĽ��Sɫ��MRSA��,��MRSAȡ��ɞ��t(y��)Ժ��Ⱦ��Ҫ��N,��ù�صķ��ͬ�r��F(xi��n)��1990��,��f��ù�ص��c��,��ù�ص�“ʳ��”��l(f��)�F(xi��n)��2000��,��F(xi��n)�Gē�U��,��׿��ײ��Ͼ��~�G�نΰ��Լ�Ŀǰ�l(f��)�F(xi��n)��ɇ��Σ��“��”��һ�N��NDM-1��Ĵ��c�U��,��“�@��f��²��ˎ�Եİl(f��)��ј��Ɍ����ć��{,��O�п��ܰ����ظ�Ⱦ�Լ��M�е��”

ͬ�r,��߀��¾�Ⱥʧ�{��l(f��)��ظ�Ⱦ,��J�飬�V�V��Ʋ�ԭ΢��ͬ�rҲ��w��΢��L�ͷ�ֳ,��_�y��΢��B(t��i)ϵ�зNȺ��Ⱥ��g�໥��Ƽs,��Ɖ��΢��B(t��i)ƽ�⣬�a(ch��n)��w��Ⱥʧ�{,��l(f��)��ظ�Ⱦ,��ʹ��l(f��)�µĸ�Ⱦ�Լ��ˎ��Ͼ�,��m��ԗU��,��µ��Ⱦ��,��ɞ錧��S��ز��ֱ��ԭ��,��⣬��E�ÿ��߀��܌��ˎ�ﲻ��,��Mˎ��,��Ӈ��Һͻ��ߵĽ�(j��ng)��ؓ��

�ӏ��O(ji��n)��

��I��ر��I��y

��غ��ˎ��ȫ��綼��R�Ć��},��҇��΄ݸ��Ӈ��,��

“�ڇ��⣬�I��Ҫ��I��y,��I��ֻҪ��ʾ��C��,��ύُ��Ո�Ϳ��ˡ��ز��I��I��,��Ƶ÷ǳ��,��”��f,��Ї��ҷ��Ҏ(gu��)��ر��ˎ��ԇ�,��ұ�횑{�t(y��)��̎��ſ��_��,��҇��ҏ�2004��Ҫ��횑{�t(y��)��̎��ſ��ُ�I̎��ˎ��أ�,��ȱ��O(ji��n)�ܙC��,��Ŀǰ�ĬF(xi��n)��M�߿��ڎ׺��ˎ��S��I��ˎ�

��,��҇��B(y��ng)ֳ�I(y��)��ʹ�ñO(ji��n)�ܵ��Ҳ��,��Zɳ�ǡ��h(hu��n)��ɳ�ǵȿ��ڇ��һЩ�؅^(q��)��ʹ�õ�ˮ�a(ch��n)�B(y��ng)ֳˎƷ,��ȇ��Ҙ˜�,��@Щ��ǽ�ֹʹ�õġ��n��Ę˜�,��40��N��|��ˮ�a(ch��n)�B(y��ng)ֳ�в��ʹ��,��ڇ��Ƚ�ֹʹ�õ��|ֻ��20��N��n��һ��,��

2011��,��l(w��i)��_ʼ��ȫ��_չ��3��Ŀ��ˎ��R��Ì��λ�ӣ��ҪĿ��Ǽӏ��ʹ��Mȫ��t(y��)��ˎ��ʹ��,��Ŀǰ�󷶇��λ��ѽ�(j��ng)�Y��,��t(y��)Ժ�ڿ��ˎ��ʹ�úͱO(ji��n)�ܷ��и��ƺ��ߣ��F(xi��n)��Ȼ��,��

��,��ꖽ��h��M��ˎ��ʹ�ó��˼ӏ��O(ji��n)��,��߀��ԓȫ��U��ʹ�õ��,��t(y��)�չ��ߵ��Ⱥ�w,��t(y��)��ИI(y��)��I(y��),��Č��I(y��)�W�g��Ӗ��ý�w��ֻ�к��ˎ��,��ˎ��ʹ��֮·�ſ��ߵø��,��h��

��P��

�O(ji��n)�y�@ʾ��ز��λ

��ʳˎ�O(ji��n)��5��14��°l(f��)��ġ�ˎƷ��O(ji��n)�y��Ȉ�桷�@ʾ,��ȥ��҇��յ�ˎƷ��泬�^130�f��,��ʳˎ�O(ji��n)��f��ԓ��Pע��ˎ�ϲ��ˎ�Լ��^�ߺ��ù�صȿ��Ⱦ��ˎ��İ�ȫ�Ԇ��},��

ˎƷ��ǻ��ʹ��ˎ��ί��ĕr��,��a(ch��n)��c�ί��o�P��Y��,��@�N��п��p΢��^��^�۵ȸ��ã�Ҳ�п��Ǉ��ص��ݿ��Σ��,��

2013��ˎƷ��O(ji��n)�y��Ȉ��@ʾ��ز��ˎ��ˎע�䄩�ϲ��ˎ�ѽ�(j��ng)�ɞ��ˎ��ȫ�ăɴ��[��,��2013��,��ڸ��ˎƷ�У��^��,��ù��ȿ��Ⱦˎ,��Ҳ��҂�ͨ��f��“��”��攵(sh��)��λ�ӵ�һ,��ˎƷ��O(ji��n)�y��ĳ̄��B�f��“�@a(ch��n)Ʒ��^��,��@��R��ǳ��Įa(ch��n)Ʒ��߀��ڲ��ʹ��,��m��Yʹ�õȷ��Ć��},��е��^��ù��Ȯa(ch��n)Ʒ��^��F(xi��n)��Ȟ�ͻ��”

����D�d��ǳ��ڂ��f��Ϣ֮Ŀ��,��Ё�Դ��ע�e�`��ַ��ĺϷ��,��Ո��߳֙��C��c��W(w��ng)(li��n)ϵ��҂��r��,��h��,��x�x��