摘要
目的调查分析疑似纤支镜清洗消毒不规范引起的医院感染暴发事件,为采取针对性控制措施提供依据。方法采用流行病学调查和病例对照研究的方法对医院感染病例进行分析,并提出综合干预措施。结果综合ICU使用呼吸机支持治疗患者,14天内发生的4例呼吸机相关肺炎患者均经纤支镜检查,4例患者痰标本中均培养出铜绿假单胞菌,纤支镜采样细菌培养出铜绿假单胞菌。结论使用不规范清洗消毒的纤支镜进行检查是引起综合ICU住院患者呼吸机相关肺炎感染的主要危险因素。重视医院感染控制,采取有效的消毒隔离措施,严格消毒灭菌技术操作,是预防和控制医院感染爆发的有效措施和途径。
Objective This paper aims to study hospital infection which is resulted from unqualified sterilized bronchofiberscope,and then lay a foundation for targeted control measures. Methods Epidemiological investigation and case-control study are applied in this paper. It try to put forward intervening measures by studying and analyzing these hospital infected cases. Results From July 1st to 14th in the year of 2015 ,there are 4 ventilator related pneumonia patients in ICU of our hospital. Before infected,all of these 4 patients have taken a bronchofiberscope check and accepted supportive treatment by ventilator. The bronchofiberscope are cleaned and disinfected by our own department. Pseudomonas aeruginosa is cultured in the sputum specimens from these patients. Pseudomonas aeruginosa is also seen in the bronchofiberscope bacterial culture. The main risk factor of this hospital infection is the use of unqualified bronchofiberscope. Conclusion It is confirmed to be a hospital infection event which is resulted from unqualified sterilized bronchofiherscope. The infection has been controlled by adopting effective measures.
出处
《蛇志》
2016年第4期430-431,458,共3页
Journal of Snake
关键词
纤支镜
清洗消毒
呼吸机相关肺炎
Bronchofiberscope
Cleaning and disinfection
Ventilator-associated pneumonia
