CAJ | 학술논문

目的：总结参加“和谐使命－2014”海外医疗服务的经验，探索加强医院船重症监护病房感染控制的有效途径和管理措施。方法对医院船重症监护病房存在的感染控制方面问题进行分析，针对性制定出相应的感染控制措施，并在“和谐使命－2014”任务执行过程中付诸实施。结果整个任务期间，医院船重症监护病房收治患者共计119例；其中，1例为艾滋病、梅毒、丙型病毒性肝炎三重感染患者，1例为严重产后感染患者，1例为急性重症胃肠炎患者，2例为肺部感染患者。整个治疗过程顺利，没有出现任何院内感染或感染播散病例。结论对医院船重症监护病房存在的感染控制问题，可通过成立感染控制小组、建立相对隔离措施、加强管理防护等措施加以改进。
목적：총결삼가“화해사명－2014”해외의료복무적경험，탐색가강의원선중증감호병방감염공제적유효도경화관리조시。방법대의원선중증감호병방존재적감염공제방면문제진행분석，침대성제정출상응적감염공제조시，병재“화해사명－2014”임무집행과정중부제실시。결과정개임무기간，의원선중증감호병방수치환자공계119례；기중，1례위애자병、매독、병형병독성간염삼중감염환자，1례위엄중산후감염환자，1례위급성중증위장염환자，2례위폐부감염환자。정개치료과정순리，몰유출현임하원내감염혹감염파산병례。결론대의원선중증감호병방존재적감염공제문제，가통과성립감염공제소조、건립상대격리조시、가강관리방호등조시가이개진。
Objective To summarize the medical service experience of "Harmony Mission-2014", and to explore the useful method and approach of infection control in department of intensive care unit ( ICU) at hospital ship .Methods Analyzing the problem of ICU department in hospital ship firstly , and then setting up the institution of infection control and practicing in the medical ser-vice of"Harmony Mission-2014".Results One hundred and nineteen patients was admitted to ICU department at hospital ship in the whole mission .Among them ,one patient had the concurrent infec-tion of human immunodeficiency virus , syphilis and hepatitis C virus , one patient with the serious postnatal infection , one patient with the acute serious gastroenteritis , and two patients with pulmonary infection.The process of therapy was smoothly , and nosocomial infections was not happened .Con-clusion Some proposals about infection control in ICU department at hospital ship have taken .