我院地震伤员气性坏疽防控措施与实施

Prophylaxis and management for gas gangrene after Great Wenchuan Earthquake

目的探讨在5.12大地震后前沿医院短时间集中收治大量地震伤员的特殊情况下,采取及时正确医院感染管理,预防控制伤员气性坏疽发生和院内感染。方法(1)医院感染管理部门和医院医务人员提高对气性坏疽的认识,制定气性坏疽相关的医院感染院预防控制措施;(2)院前对地震伤员按伤口情况分诊,对伤员去污染处理;(3)加强气性坏疽的筛查;(4)对气性坏疽患者早诊断、早隔离、早治疗,采取严格消毒措施。结果本院收治1 400多地震伤员只发现1例气性坏疽患者,后无第2代病例发生。结论在5.12大地震后,医院短时间集中收治大批地震伤员,本院采取医院感染消毒隔离预防控制气性坏疽的措施是及时正确的。

Objective Immediately after the Great Wenchuan Earthquake, a great number of injuries were hospitalized within a short period of time. In the emergency situation, the local hospilal is required to control nosocomial infections including gas gangrene instantly and effectively. The objective of the study is to analyse and evaluate prevention, control and management for gas gangrene in our hospital. Methods The policy of prevention and control for nosocomial infections including gas gangrene was insti tuted,and medical personnel intensified the knowledge of gas gangrene and provided treatment cautiously. Wounds of patients were surgically classified,debrided and protected from dirt. Exudations of wounds were screened microbiologically to identify Clostridium perfringens causing gas gangrene. The patient with gas gangrene was immediately isolated and strictly disinfected. Results Among over 1400 injuries treated in our hospital,only one suffered from gas gangrene,and there were no nosocomial infections. Conclusion The prevention and management for gas gangrene were effective and valid in our hospital after hospitalization of larger numbers of patients wounded during the Great Wenchuan Earthquake in a short period.