医院感染暴发控制需要管理部门、微生物学和感染控制共同参与
Hospital outbreak control requires joint efforts from hospital management, microbiology and infection control医院感染暴发控制需要管理部门、微生物学和感染控制共同参与
Summary
An outbreak of multidrug-resistant Klebsiella pneumoniae producing the extended-spectrum β-lactamase CTX-M15 affected 247 mainly elderly patients in more than 30 wards in a 1000-bedded swedish teaching hospital between May 2005 and August 2007. A manual search of the hospital administrative records for possible contacts between cases in wards and outpatient settings revealed a complex chain of transmission. Faecal screening identified twice as many cases as cultures from clinical samples. Transmission occurred by direct and indirect patient-to-patient contact, facilitated by patient overcrowding. Interventions included formation of a steering group with economic power, increased bed numbers, better compliance with alcohol hand disinfection and hospital dress code, better hand hygiene for patients and improved cleaning. The cost of the interventions was estimated to be Hospital outbreak control requires joint efforts from hospital management, microbiology and infection control
医院感染暴发控制需要管理部门、微生物学和感染控制共同参与
Summary
An outbreak of multidrug-resistant Klebsiella pneumoniae producing the extended-spectrum β-lactamase CTX-M15 affected 247 mainly elderly patients in more than 30 wards in a 1000-bedded swedish teaching hospital between May 2005 and August 2007. A manual search of the hospital administrative records for possible contacts between cases in wards and outpatient settings revealed a complex chain of transmission. Faecal screening identified twice as many cases as cultures from clinical samples. Transmission occurred by direct and indirect patient-to-patient contact, facilitated by patient overcrowding. Interventions included formation of a steering group with economic power, increased bed numbers, better compliance with alcohol hand disinfection and hospital dress code, better hand hygiene for patients and improved cleaning. The cost of the interventions was estimated to be 在2005年5月至2007年8月间，瑞典一家1000张床位的教学医院，超过30间病房中主要有247例老年病人感染产广谱β内酰胺酶CTX-M15的多药耐药肺炎克雷伯菌爆发。对医院管理记录进行手工查询病房病人和门诊病人间可能接触，发现复杂的传播链。粪便筛选发现的病例数量是临床培养标本的2倍。本次爆发通过直接和间接病人-病人的接触而传播，在人群拥挤的地方更加容易。干预措施包括按经济能力调整群体形成，增加病床数，提高酒精洗手和住院被服规范的依从性，给病人更好的手卫生和改善清洁。干预费用估计是300万欧元。此次爆发不需要特别感染控制策略，但是需要勇气确保执行现有的政策，努力进行教育改善依从性。只分享了这一节，其它的只能“望文兴叹”了。
页:
[1]