FCC模式下儿童呼吸科CA-MRSA定植和感染患儿的综合管理

The family-centered care based integrated management of community acquired MRSA colonization or infection in division of pediatric respiratory medicine

目的:对儿童呼吸科CA-MRSA进行分析,探讨以家庭为中心的护理模式下CA-MRSA定植和感染患儿的综合管理方案。方法:选择医院儿童呼吸科2016年1月?2017年2月收住的45例CA-MRSA进行相关因素分析,并对其进行各种干预措施。结果:CA-MRSA的定植和感染与鼻腔定植、年龄及终末消毒明显相关,经过培训后院感防控知识及手卫生执行率得到明显上升。结论:通过清除鼻部定植菌、加强防控知识培训、加强手卫生、重视护工的工作模式及做好消毒隔离工作,可以有效控制CA-MRSA对患儿的影响。

Objectives： To explore the community acquired methicillin resistant staphylococcus aureus （AC-MRSA） colonization and infection status in airways of patients in division of pediatric respiratory medicine and to investigate the integrated management for patients with CA-MRSA colonization or infection under family-centered care （FCC） mode. Methods： 45 patients who were hospitalized in department of pediatric respiratory from Jan. 2016 to Feb. 2017 were selected has the research objects. Risk factors of CA-MRSA colonization or infection were analyzed and different interventions were carried out. Results： The colonization or infection of CA-MRSA was strongly correlated to nasal colonization, age and terminal disinfection. After training, both of nurses＇ knowledge of hospital infection control and the ratio of hand hygiene were improved significantly. Conclusions： The effect of CA-MRSA upon pediatric could be well controlled by cleaning the colonized bacterium in nose, enhancing the hospital infection control training, enhancing hand hygiene, paying more attention to the work mode the of care workers and improve the disinfection and isolation.