huangwenxia1986 发表于 2022-9-23 10:35

胰腺炎是院感吗?

请教一下各位老师,患者梗阻性黄疸入院,无发热腹痛,胆道引流后出现胰腺炎,伴有发热,这个属于操作后引起的院内感染吗?患者本身存在胰头占位的情况。求助各位大佬。

大魔导师 发表于 2022-9-23 11:11

本帖最后由 大魔导师 于 2022-9-23 11:14 编辑

入院诊断:梗阻性黄疸,无相关症状,根据什么诊断的?必然有实验室证据,data:image/png;base64,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
主要诱因是:反复胆道系统感染或急性感染者等。
可以认定为入院前已经是感染患者,故排除院内感染。

除非您能从医疗器械(供应室消毒)或环境卫生(手术室监测)中发现同患者的病原体,则可以认定院内感染。

请指教。

jerkran 发表于 2022-9-23 17:23

院外                                                         

13938815787 发表于 2022-9-28 15:48

胰头占位本身就可能存在胰腺炎,可能入院的时候还没有表现或检查迟滞。不属于医院感染。
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查看完整版本: 胰腺炎是院感吗?