新生儿重症监护病房真菌败血症医院感染暴发调查

发布时间：2018-07-01 19:02

本文选题：病房改建 + 真菌败血症　；参考：《中华医院感染学杂志》2017年08期

【摘要】：目的调查医院新生儿重症监护病房(NICU)改建后一起由白假丝酵母菌引起的败血症感染暴发流行的原因,为有效控制医院感染提供科学依据。方法对2016年6月24日-7月15日医院新生儿病房白假丝酵母菌医院感染败血症患儿进行流行病学调查,并对医务人员手、病室环境及物表进行环境卫生学监测。结果 7例败血症患儿中4例给予有创呼吸机辅助通气,2例脐静脉置管,4例经外周静脉置管(PICC);7例双份血培养均为白假丝酵母菌,且药敏谱相同;环境卫生学采样,包括空气、工作人员手、物表等进行检测,合格率为54.55%,采取防控措施后再次采样检测,合格率为92.50%;2016年7月15日以后未再出现白假丝酵母菌败血症患儿,此次暴发事件得到有效的控制。结论此次医院感染暴发事件考虑新生儿病房改建后,消毒灭菌的呼吸机管路存放不当,通过医务人员置管操作传播;新生儿病房应加强呼吸机管路的管理,预防医院感染不良事件的发生。
[Abstract]:Objective to investigate the causes of a septic infection outbreak caused by Candida albicans after the reconstruction of NICU, and to provide scientific basis for the effective control of nosocomial infection. Methods Epidemiological investigation was carried out on the children with septicemia caused by Candida albicans in neonatal wards from June 24 to July 15, 2016. Results among 7 cases of septicemia, 4 cases were treated with invasive ventilator assisted ventilation 2 cases with umbilical vein catheterization and 4 cases with double blood culture by peripheral vein catheterization (PICC), all of them were Candida albicans with the same drug sensitivity spectrum, environmental hygiene sampling, including air, The qualified rate was 54.55. After taking prevention and control measures, the qualified rate was 92.50. After July 15, 2016, there were no more children with septicemia of Candida albicans, and the outbreak was effectively controlled. Conclusion in the event of nosocomial infection, the ventilator pipeline should be stored improperly after the neonatal ward was rebuilt, and the ventilator pipeline should be strengthened in the neonatal ward. To prevent adverse events of nosocomial infection.
【作者单位】：内蒙古医科大学附属医院预防保健部;杭州杏林信息科技有限公司;
【分类号】：R197.323;R722.131

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