医院船海外医疗服务期间重症监护病房的感染控制与管理

Infection control in department of intensive care unit at hospital ship during the abroad medical service

目的总结参加"和谐使命-2014"海外医疗服务的经验,探索加强医院船重症监护病房感染控制的有效途径和管理措施。方法对医院船重症监护病房存在的感染控制方面问题进行分析,针对性制定出相应的感染控制措施,并在"和谐使命-2014"任务执行过程中付诸实施。结果整个任务期间,医院船重症监护病房收治患者共计119例;其中,1例为艾滋病、梅毒、丙型病毒性肝炎三重感染患者,1例为严重产后感染患者,1例为急性重症胃肠炎患者,2例为肺部感染患者。整个治疗过程顺利,没有出现任何院内感染或感染播散病例。结论对医院船重症监护病房存在的感染控制问题,可通过成立感染控制小组、建立相对隔离措施、加强管理防护等措施加以改进。

Objective To summarize the medical service experience of "Harmony Mission-2014", and to explore the useful method and approach of infection control in department of intensive care unit ( ICU) at hospital ship .Methods Analyzing the problem of ICU department in hospital ship firstly , and then setting up the institution of infection control and practicing in the medical ser-vice of"Harmony Mission-2014".Results One hundred and nineteen patients was admitted to ICU department at hospital ship in the whole mission .Among them ,one patient had the concurrent infec-tion of human immunodeficiency virus , syphilis and hepatitis C virus , one patient with the serious postnatal infection , one patient with the acute serious gastroenteritis , and two patients with pulmonary infection.The process of therapy was smoothly , and nosocomial infections was not happened .Con-clusion Some proposals about infection control in ICU department at hospital ship have taken .