中国医院
中國醫院
중국의원
Chinese Hospitals
2015年
10期
45-47
,共3页
李岚%汪涓%姚彬%于淑娟%于逢春%梁红艳%周洪柱
李嵐%汪涓%姚彬%于淑娟%于逢春%樑紅豔%週洪柱
리람%왕연%요빈%우숙연%우봉춘%량홍염%주홍주
血源性感染%聚集性感染%感染控制
血源性感染%聚集性感染%感染控製
혈원성감염%취집성감염%감염공제
hematogenous infection%clustered infection%infection control
目的:调查分析一起综合医院血源性感染聚集性事件发病因素和处理过程中的管理经验,为有效控制和管理提供科学依据.方法:采用现场流行病学调查方法,对该院一起血源性感染聚集性医院感染病例进行现场调查与分析.结果:该医院神经内科于2014 年 4月21-28日连续发生 6例医院感染,经采取隔离措施、病房环境消毒干预措施和医务人员手卫生措施,感染疫情得到有效控制.结论:此次感染为一起革兰氏阴性细菌引发的血源性聚集性感染,住院病房环境污染和经手播散是本次医院感染的主要传播源和传播途径,经及时采取有效综合防治措施,疫情得到及时控制;多学科合作和及时沟通是重要的成功之道.
目的:調查分析一起綜閤醫院血源性感染聚集性事件髮病因素和處理過程中的管理經驗,為有效控製和管理提供科學依據.方法:採用現場流行病學調查方法,對該院一起血源性感染聚集性醫院感染病例進行現場調查與分析.結果:該醫院神經內科于2014 年 4月21-28日連續髮生 6例醫院感染,經採取隔離措施、病房環境消毒榦預措施和醫務人員手衛生措施,感染疫情得到有效控製.結論:此次感染為一起革蘭氏陰性細菌引髮的血源性聚集性感染,住院病房環境汙染和經手播散是本次醫院感染的主要傳播源和傳播途徑,經及時採取有效綜閤防治措施,疫情得到及時控製;多學科閤作和及時溝通是重要的成功之道.
목적:조사분석일기종합의원혈원성감염취집성사건발병인소화처리과정중적관리경험,위유효공제화관리제공과학의거.방법:채용현장류행병학조사방법,대해원일기혈원성감염취집성의원감염병례진행현장조사여분석.결과:해의원신경내과우2014 년 4월21-28일련속발생 6례의원감염,경채취격리조시、병방배경소독간예조시화의무인원수위생조시,감염역정득도유효공제.결론:차차감염위일기혁란씨음성세균인발적혈원성취집성감염,주원병방배경오염화경수파산시본차의원감염적주요전파원화전파도경,경급시채취유효종합방치조시,역정득도급시공제;다학과합작화급시구통시중요적성공지도.
Objectives: To investigate an incident of hematogenous infection in a general hospital and to provide scientific evidence for effective control and management. Method: Field epidemiology was used to investigate and analyze an incident of hematogenous infection in a general hospital. Result: 6 consecutive nosocomial infection cases were reported from April 21 to 28 in neurology department of this hospital, Gram-negative bacteria were detected in 4 out of the 6 tested samples (2 cases with klebsiella pneumoniae, 1 case with Acinetobacter Baumannii, 1 case with Enterobacter cloacae). The nosocomial infection was well under controlled after medical staff hands hygiene improvement, wards sterilization and patients quarantine. Conclusion: This is an incident of Gram-negative pathogen induced clustered hematogenous infection cases in general hospital, contaminated wards environment and medical staff's hands are the major source and route of transmission. Instant and comprehensive medical intervention successfully made this infection under controlled; multiple-disciplinary treatment and timely communication is the most important avenue to success.