收治地震灾区伤员医院感染的管理和控制
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摘要
目的根据收治地震灾区伤员的特点,做好医院感染管理和控制工作,提高地震灾区伤员救治的成功率。方法成立医院感染管理机构,制订、完善医院感染预防和控制措施与方案,细化医院感染预防和控制操作规程。结果收治的76名地震伤员中,开放性创面感染率较高,为多种细菌和霉菌混合感染,呈多重耐药性,且合并有尿路及肺部感染。经过有效的感染预防和控制管理,全部伤员痊愈出院,实现了危重感染零死亡、无菌手术零感染的目标。结论加强地震灾区伤员收治过程中的医院感染预防和控制管理,是提高医学救治效果极为重要的环节。
Objective To enhance the healing rate of the wounded patients in earthquake-stricken areas and to deal with the nosocomial infection precaution and control according to the feature of the patients.Methods Hospital institution on nosocomial infection management was formed,the procedure of the nosocomial infection and control was formulated,and the corresponding regulations were fined.Results Patients with open injury had high rates of infection.They were infected with some bacterial and fungus with multidrug resistance and combined with urinary or pulmonary infection.All patients were healed by effective control and management of infection.The goal that none patient died from severe infection and had infection from aseptic operation was attained.Conclusion It is very important to strengthen the nosocomial infection precaution and control for wounded patients in earthquake-stricken areas.
Objective To enhance the healing rate of the wounded patients in earthquake-stricken areas and to deal with the nosocomial infection precaution and control according to the feature of the patients.Methods Hospital institution on nosocomial infection management was formed,the procedure of the nosocomial infection and control was formulated,and the corresponding regulations were fined.Results Patients with open injury had high rates of infection.They were infected with some bacterial and fungus with multidrug resistance and combined with urinary or pulmonary infection.All patients were healed by effective control and management of infection.The goal that none patient died from severe infection and had infection from aseptic operation was attained.Conclusion It is very important to strengthen the nosocomial infection precaution and control for wounded patients in earthquake-stricken areas.
引文
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2黄寿清,张楚南,李向阳,等.开放性骨折创面处理与创面感染的关系[J].中国感染控制杂志,2003,2(3):170-171
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4董玉梅,靳桂明,张瞿璐.气管切开患者下呼吸道感染病原菌及耐药性分析[J].华南国防医学杂志,2008,22(5):74-75
5王福生,傅泳航,梁秀英.78例医院真菌感染病例分析与干预评价[J].华南国防医学杂志,2008,22(1):58-59
6陈静,裴红生,凌汉栋,等.医疗废物管理的调查及分析[J].中华医院感染学杂志,2004,14(9):1025-1026
7靳桂明,董玉梅,张瞿璐,等.信息流在医院感染管理中的综合应用[J].华南国防医学杂志,2008,22(3):49-50
2黄寿清,张楚南,李向阳,等.开放性骨折创面处理与创面感染的关系[J].中国感染控制杂志,2003,2(3):170-171
3邱方城,王崇玉.医护人员洗手后葡萄球菌带菌的调查[J].中华医院感染学杂志,2005,15(3):300-301
4董玉梅,靳桂明,张瞿璐.气管切开患者下呼吸道感染病原菌及耐药性分析[J].华南国防医学杂志,2008,22(5):74-75
5王福生,傅泳航,梁秀英.78例医院真菌感染病例分析与干预评价[J].华南国防医学杂志,2008,22(1):58-59
6陈静,裴红生,凌汉栋,等.医疗废物管理的调查及分析[J].中华医院感染学杂志,2004,14(9):1025-1026
7靳桂明,董玉梅,张瞿璐,等.信息流在医院感染管理中的综合应用[J].华南国防医学杂志,2008,22(3):49-50
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