入院之前只有结石诊断,入院手术后引起的一系列问题,这个可以确定就是医院感染吧?
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这样怎么能确定呢?“一系列问题”是什么问题呢?
医院感染案例判断提供的基本信息
1、患者性别,年龄,入院时间
2、主诉
3、入院主要诊断
4、与主诉相关的既往史及与主诉相关的临床表现及辅助检查结果,如体温,白细胞
5、有手术的病人请说明手术日期
5、本次疑似院内感染的出现日期,与入院时不同的临床症状体征
6、与院内感染相关的辅助检查时间和结果:如重点病原学送检情况,影像学结果等
7、抗菌药物使用情况:注意要标明使用时间,使用后效果如何?
提醒:但凡涉及到时间的,请注明具体几月几日,请不要使用住院第几天,几天前这样的时间描述。 吴晓梅 发表于 2024-10-28 09:44
这样怎么能确定呢?“一系列问题”是什么问题呢?
医院感染案例判断提供的基本信息
1、男性,34岁,因反复左侧腰背部疼痛1月于2024-06-30入院,既往有“泌尿系结石”病史
2、入院诊断1.左肾积水伴肾输尿管结石 2.右肾积水伴肾结石3.泌尿道感染。
3、入院体格检查:T:36.6℃,P:79次/分,R:20次/分,BP:119/81mmHg,双肺呼吸音清,无啰音,心律齐,未闻及杂音,腹部平软,无压痛反跳痛,双肾区无膨隆,双肾未扪及,双侧输尿管行程无压痛,左肾区轻叩击痛,右肾区无叩击痛,未扪及肿块。尿道口无异常分泌物。入院查:2024-06-30 血细胞分析(五分类):*白细胞(仪器法)8.9x10 9/L、中性粒细胞比率 66.2%。2024-06-30 尿液分析:*白细胞(仪器法)3+cell/ul、*隐血(仪器法)3+cel1/ul,尿沉渣定量:红细胞100个/ul、白细胞 892个/ul。2024-06-30 降钙素原检测-荧光定量:降钙素原<0.05ng/ml。2024-06-30 C反应蛋白测定(CRP)-免疫比浊:C-反应蛋白 4.3mg/L。肝肾功能、电解质、凝血常规正常
4、2024-07-07行右侧经皮肾镜钬激光碎石取石术+双侧输尿管支架置入术,术中穿刺抽出尿液有少量脓性沉渣
5、入院后于2024-07-04患者出现发热,考虑上呼吸道感染,自服感冒药症状好转;2024-07-08 考虑:右侧胸腔积液并感染,弥漫性腹膜炎,改“亚胺培南”抗感染,查2024-07-10 CT成套:胸部(平扫):双肺实变,考虑肺炎,右侧胸腔积液2024-07-10 CT成套:胸部(平扫):双肺实变,考虑肺炎,右侧胸腔积液。2024-07-11高热,体温:39.2℃,诉右侧腰痛,查体可见右侧肾造瘘管周围隆起,红肿,复查:予2024-07-12日伤口换药,流出脓液约200ml,考虑伤口化脓所致高热;术后一直发热,期间查血培养、痰培养、胸水培养,尿培养并找真菌,结果回报均阴性。
6、出院诊断:1.左侧肾输尿管结石伴积水和感染 2.右肾结石伴积水和感染 3.右侧胸腔积液并感染 4.右侧脓胸?4.弥漫性腹膜炎 5.低钾血症 6.肾功能不全 7.上呼吸道感染 8.右侧经皮肾镜术后 陈娟1 发表于 2024-10-28 10:31
1、男性,34岁,因反复左侧腰背部疼痛1月于2024-06-30入院,既往有“泌尿系结石”病史
2、入院诊断1.左 ...
1、入院尿常规白细胞 892个/ul,有尿培养吗?
2、2024-07-07行右侧经皮肾镜钬激光碎石取石术+双侧输尿管支架置入术,术中穿刺抽出尿液有少量脓性沉渣(这个感染是社区感染)
3、出现发热,考虑上呼吸道感染:体温最高多少?持续几天?有没有呼吸道病原体检测?是上呼吸道感染还是普通感冒?普通感冒不属于医院感染,上呼吸道感染属于医院感染。
4、07-08 考虑:右侧胸腔积液并感染,弥漫性腹膜炎,改“亚胺培南”抗感染,查2024-07-10 CT双肺实变,考虑肺炎,右侧胸腔积液。
①为什么诊断“弥漫性腹膜炎”?看病史描述没有腹膜炎症状。
②肺炎是否是7.4的上呼吸道感染引起?如果是上呼吸道感染引起的,那么医院感染只需要报下呼吸道感染;如果不是7.4的上呼吸道感染引起的,那么是术后肺炎,上、下呼吸道感染都要报医院感染。
5、07-11高热,体温:39.2℃,诉右侧腰痛,查体可见右侧肾造瘘管周围隆起,红肿,复查:予2024-07-12日伤口换药,流出脓液约200ml,考虑伤口化脓所致高热:
①为什么没有分泌物培养?
②伤口换药,流出脓液:这个是不是皮肤表面?如果是皮肤表面的属于切口深部组织感染。
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