一起疑似鲍曼不动杆菌感染暴发的预防控制效果观察

Observation on prevention and control of outbreak suspected caused by Acinetobacter Baumanii infection

目的评估一起疑似鲍曼不动杆菌肺部感染暴发疫情现场控制措施的效果。方法采取前瞻性和回顾性相结合的调查方法,对某医院胸外科一起疑似鲍曼不动杆菌感染暴发PDCA控制效果进行分析和评价。结果该医院胸外科在2013年6月份连续发生5例患者鲍曼不动杆菌肺部感染事件。依照持续质量改进原理,采取调查、现场分析、消毒隔离措施、追踪监测和总结验收等循环管理措施,使这起疑似鲍曼不动杆菌感染暴发疫情得到有效控制,其后无新的病例出现。结论应用持续质量改进措施,有效控制了该医院鲍曼不动杆菌感染暴发疫情,取得良好的效果。

Objective To observe the control effect of an pulmonary infection outbreak of Acinetobacter baumanii. Meth- ods Prospective and retrospective investigation method were adopted to analysis and evaluate the effect of measures for an pulmonary infection suspected outbreak control by continuous quality improvement at the Department of thoraeie surgery in a hospital. Results There were continuous 5 cases of pulmonary infection of Acirtetobacter Baumanii in the department of chest surgery in June 2013. By the application of continuous quality improvement, investigation, field sampling analysis, dis- infection andisolation, tracing surveillance and summary, the outbreak was controlled effectively, no further cases appeared. Conclusion After continuous quality improvement,we establish a long -term management mechanism to effectively control an epidemic outbreak of Acinetobacter Banmanii.