摘要
目的调查某院烧伤外科一起由耐碳青霉烯鲍曼不动杆菌(CRAB)引起的疑似烧伤部位感染暴发的原因,为有效控制医院感染提供科学的依据。方法对2020年8月15日—23日北大医疗鲁中医院烧伤皮肤外科4例CRAB感染病例进行流行病学调查及现场环境卫生学监测,查找感染源、传播途径,并采取干预措施。结果检出CRAB的4例患者中,其中2例患者病室相邻,为同一组医疗人员,护士手及患者周围环境均检出CRAB。经过调整患者房间安置,强化环境清洁消毒,积极救治感染患者等措施,4例患者中1例社区感染治愈出院,1例调整抗菌药物后病情好转,另外2例手术植皮封闭创面,并排除1例CRAB感染,且无新发病例出现。结论科室环境污染及医务人员手传播是此次疑似医院感染暴发的可能原因,合理安置患者、严格环境清洁消毒及医务人员手卫生能有效控制CRAB的暴发流行。
Objective To invest the reason of outbreak of suspected nosocomial infection for Carbapenem-resistant Acinetobacter Baumannii(CRAB)in Bum ward in A hospital,to provide ffective treatment for the nosocomial infection.Method From 2020 August 15th to 23rd,we finished the epidemiological survey and the environmental hygienic investigation for 4 cases in Bum ward,tried to find the sources and routes of infection,and develop the interventions.Results 4 cases were culured CRAB.2 cases stayed in adjoining room,they were taken care by one medical leam.The nurse's hands and the object's surface had culivated CR AB.Changing patient's room,strengthening to clean and sterilize environment,and active anti-infeetion,one case was cured,one was getting better.Another tow cases were covered wound by skin grafting and one was removed from infection of CRAB.Then we haven't discovered new ceases.Conclusions The hospital environmental population and the hand's transmission maybe lead to outbreak of suspected nosocomial infections.t is an elective treatment to control the prevalence of infection that perfect arrangement of patient,rigidly cleaning and sterilizing of environment and hand hygiene.
作者
耿艳杰
于娟
韩永
王莎莎
Geng Yamjie;Yu Juan;Han Yong(The Peking University Medical Luzhong Hospital,Zibo,Shandong 255400)
出处
《基层医学论坛》
2023年第18期23-25,29,共4页
The Medical Forum
关键词
烧伤外科
耐碳青霉烯鲍曼不动杆菌
医院感染
暴发
控制
Burm Ward
Carbapenem--resistant acinetobacter
Nosocomial infection
Outbreak
Control
