疑似医院感染暴发的控制与预防

Control and prevention of outbreak of suspected healthcare associated infection

目的通过干预管理,及时控制疑似医院感染暴发(HAISO)并预防其发生。方法对临床资料进行分析,制定干预措施。结果 HAISO发生在较炎热潮湿的季节;被感染者为ICU术后重症者、留置深静脉导管者及新生儿,分别占47.62%、33.33%、19.05%;均为条件致病菌,其中4起为耐药菌;肺部感染最多占42.86%;HAISO逐年减少,2008-2010年分别为3、2、0起。结论 HAISO的干预措施有效,预防控制并重。

OBJECTIVE To control the outbreak of suspected healthcare associated infection through appropriate interventions. METHODS The clinical data and set down the effective interventions. RESULTS HAISO occurred in torrid and humid season. Those infected are postoperative severe patients in ICU （47.62%）, with peripherally inserted central catheter （33.33%/o） and newborn （19.05%）. Pathogeny are opportunistic bacteria and 14 patients （66.67%） in 4 HAISO are drug resistant thereto. Pneumonia accounted for 42.86% （38.09%. are VAP therein- to）. HAISO reduced year by year.. 3 HAISO in 2008, 2 in 2009, no in 2010. CONCLUSION The intervention of HAISO is effective and the control and prevention are all important.