微生物室排除在医院感染之外合乎规范吗？
<p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于Weihe:</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"> “胡</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">教授</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">你好</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">!</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">我想请教一下</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染科要求我们微生物室每天给他们也发一份检验报告单</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合适吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">有这个必要吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染的监控需要这么做吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?<span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">我非常崇赏您的做法</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">曾多次听您讲课</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">您曾经说过</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">院感科与其制定那么多制度并反复去检查</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">不如实实在在干一点具体的事情</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">但是国内大多院感科人员素质太差</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">就是发生了感染爆发流行</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">他们也无法判断</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">而且指定的医院感染委员会没有医院微生物室的人参加</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">作为一个三甲医院微生物室被排除在医院感染之外</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合乎规范吗？</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">”</span></span></p> <p><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染科要求我们微生物室每天给他们也发一份检验报告单</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合适吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">有这个必要吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染的监控需要这么做吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?”</span></p><p><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><p><br/><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">icchina：一般说来是不需要的。看来医院内部中，医院感染管理人员和临床微生物检验人员也应该相互了解和沟通！建议以后尽量一起参加全国会议或学习班，既增进友谊，又共同提高！哈哈！</span></p></span></p><p><br/><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">icchina：一般说来是不需要的。看来医院内部中，医院感染管理人员和临床微生物检验人员也应该相互了解和沟通！建议以后尽量一起参加全国会议或学习班，既增进友谊，又共同提高！哈哈！</span></p> <p><span style="FONT-SIZE: 7.5pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">icchina:你说</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">作为一个三甲医院微生物室被排除在医院感染之外</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合乎规范吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">”</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">，显然不合理。《医院感染管理办法》说，</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染管理委员</span></span><span style="FONT-SIZE: 7.5pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">会由医院感染管理部门、医务部门、护理部门、临床科室、消毒供应室、手术室、临床检验部门、药事管理部门、设备管理部门、后勤管理部门及其他有关部门的主要负责人组成</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">”</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">，其他我国很多临床检验部门的负责人不是搞微生物的，这样无形中把微生物专家给排掉了，应该说是一种疏忽。希望各医院执行时予以弥补。</span></span></p> <p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于“Weihe”</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">谢谢胡</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">教授百忙之中权威的答复</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">的确</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">院感科与医院微生物室也存在沟通不足问题</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">我们微生物室多年来在反复强调与临床的沟通</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">而且现在我们也做得比较好</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">与临床科室配合发现了医院感染爆发流行</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">但院感科每天在查病例</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">却对明显的爆发流行熟视无睹</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">国家级会议都是院感的人甚至是多人参加</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">没有微生物室的人参加</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">院感科办班办会也不通知微生物室人参加</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这不是因为微生物室水平不行的问题</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">也不存在私人关系问题</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">我认为是院感人员的理念有问题</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">.</span></p> <div class="quote"><b>以下是引用<i>木瓜</i>在2007-4-9 23:11:21的发言：</b><br/><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于Weihe:</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"> </span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染科要求我们微生物室每天给他们也发一份检验报告单</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合适吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">有这个必要吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染的监控需要这么做吗?</span></p></div><p>哈哈，再发一份报告单是不太合理的吧！</p><p>且不知那位医院感染科的同事看得懂细菌培养药敏报告不？我发现一些医院的感染科同仁看不懂。</p> <p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: arial; mso-hansi-font-family: arial; mso-bidi-font-family: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;">院感科与其制定那么多制度并反复去检查</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa; mso-fareast-font-family: 宋体;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: arial; mso-hansi-font-family: arial; mso-bidi-font-family: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;">不如实实在在干一点具体的事情</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa; mso-fareast-font-family: 宋体;">,!!</span></p><p><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa; mso-fareast-font-family: 宋体;">顶一下这句话,希望上面来检查的专家们都是这样认同的!!!</span></p> <p><font size="4"> 可能“Weihe”那家医院院感的同道想通过微生物检查的结果去发现有没有发生院感的病例吧，不过这种方法是行不通的。</font></p><p><font size="4"> 顺便请教一下Safihu版主，你的图像是怎么换的，我想换一个不知道在哪弄，先谢了！</font></p><p><font size="4"></font></p> <p>不能以偏概全，我们这里的微生物室不是这样地，医院感染流行病学调查中微生物室的工作是重中之重。木瓜战友干脆到我这里工作吧，正找微生物专业人才呢。</p><p>医院感染管理科离开微生物室就等于瘸腿！所以我这里医院感染管理科设了自己的微生物室，哈哈。</p> 木瓜版主:::呵,,我看的你的帖子时你的图像都已经换成小福了,,,,,,,[此贴子已经被作者于2007-4-18 10:52:06编辑过]
没想到木瓜这么看不起院感管理专职人员。在我国院感管理工作以前不受重视，SARS后才逐渐认识到其重要性，院感管理组织逐步完善，人员结构得到调整，人员素质也在提高。微生物检测是院感控制的重要环节之一，但请不要只看到自己的重要而看不起他人，试想一下，院感控制就你一个环节能做的好吗？一个医院的医院感染管理工作要靠各部门间通力合作、全体医护人员的共同参与才能做好！具体的方法可以通过沟通、讨论和完善，要知道，一个人（一方）的力量是有限的。 <div class="quote"><b>以下是引用<i>海燕</i>在2007-4-18 22:03:05的发言：</b><br/> 没想到木瓜这么看不起院感管理专职人员。在我国院感管理工作以前不受重视，SARS后才逐渐认识到其重要性，院感管理组织逐步完善，人员结构得到调整，人员素质也在提高。微生物检测是院感控制的重要环节之一，但请不要只看到自己的重要而看不起他人，试想一下，院感控制就你一个环节能做的好吗？一个医院的医院感染管理工作要靠各部门间通力合作、全体医护人员的共同参与才能做好！具体的方法可以通过沟通、讨论和完善，要知道，一个人（一方）的力量是有限的。</div><p></p>我想海燕一定是院感同道了,呵,不过你对木瓜版主是不是有所误会,上面他是帖子只是引用 " <span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: arial; mso-hansi-font-family: arial; mso-bidi-font-family: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;">转于Weihe:"的发言来进行讨论而已啦!!而我想Weihe做为一个微生物者也并不是说就看不起院感人员,只是对一些医院特别是他们医院存在院感人员与微生物室人员沟通不够及部分院感人员的专业水平进行评价,目的也是为了我们医院感染管理工作的进步,何况现在确实存在不少院感人员是混日子的情况,我们自己努力吧,做些实际工作,别让其它专业人员看不起我们!!!努力吧</span> <div class="quote"><b>以下是引用<i>safihu</i>在2007-4-18 22:45:14的发言：</b><br/><p></p>我想海燕一定是院感同道了,呵,不过你对木瓜版主是不是有所误会,上面他是帖子只是引用 " <span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: arial; mso-hansi-font-family: arial; mso-bidi-font-family: arial; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;">转于Weihe:"的发言来进行讨论而已啦!!而我想Weihe做为一个微生物者也并不是说就看不起院感人员,只是对一些医院特别是他们医院存在院感人员与微生物室人员沟通不够及部分院感人员的专业水平进行评价,目的也是为了我们医院感染管理工作的进步,何况现在确实存在不少院感人员是混日子的情况,我们自己努力吧,做些实际工作,别让其它专业人员看不起我们!!!努力吧</span></div><font size="3"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><p class="quote"><font face="楷体_GB2312" size="3">噢，希望这是误解。</font>确实，由于历史的原因，院感管理队伍构成不很合理，今后在医院领导支持下，要把掌握有关传染病学、流行病学、公共卫生学、护理学、免疫学、计算机等相关知识的优秀医生、护士、临床微生物实验室技术人员组织到医院感染管理工作队伍中，通过不断学习，相互合作，使医院感染管理的理念、方式、手段与时俱进，紧跟时代步伐，才能使院感管理工作上一台阶。</p></span></font><p><font face="幼圆" size="4"></font></p>
回复海燕
<p><font face="宋体" size="4">海燕误会我了，我现在也在学做院感的工作，我总不会自己瞧不起自己做的事情吧。院感人员和微生物室打交道的机会比较多，像胡必杰教授所在的中山医院就把微生物室和院内感染科都归胡教授管，有些事情大家互相帮忙，有些策略大家一起制定，有时间的话大家还经常坐在一起搞业务学习，都实行强强联合了！</font></p><p><font face="宋体" size="4"></font></p> <div class="quote"><b>以下是引用<i>木瓜</i>在2007-4-9 23:11:21的发言：</b><br/><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于Weihe:</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"> “胡</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">教授</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">你好</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">!</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">我想请教一下</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">医院感染科要求我们微生物室每天给他们也发一份检验报告单</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">,</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">这合适吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">有这个必要吗</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">?</span></p></div><p><font size="5">我不懂，发一份什么检验报告单？</font></p><p><font size="5">是临床送检标本还是院感科送检的监测标本？</font></p><p><font size="5">如果是院感科送检的监测标本的检验报告，那还是应该发的！</font></p><p><font size="5">如果是临床送检标本的检验报告，那倒不必了，不过微生物室定期统计报告病原微生物检出与药敏情况，进行如MRSA、VRE等耐药菌的监测与报告是免不了的！</font></p> <div class="quote"><b>以下是引用<i>木瓜</i>在2007-4-22 20:21:42的发言：</b><br/><p><font face="宋体" size="4">海燕误会我了，我现在也在学做院感的工作，我总不会自己瞧不起自己做的事情吧。院感人员和微生物室打交道的机会比较多，像胡必杰教授所在的中山医院就把微生物室和院内感染科都归胡教授管，有些事情大家互相帮忙，有些策略大家一起制定，有时间的话大家还经常坐在一起搞业务学习，都实行强强联合了！</font></p><p><font face="宋体" size="4"></font></p></div><p><font size="5">“闻道有先后,<font color="#c60a00">术业有专攻</font>”，院感是一个复杂专业，没有一个专家能够掌握所有知识，所以涉及院感专业的各专业人员应该交流协作。我记得一篇文章中曾有过这么一句话“其实一个公司90%的工作都是交流”。</font></p><p><font size="5">其实，科室的协作也是这样，你一定要努力让别人了解你的意见，也要一定努力了解别人的建议，只有交流的好，才会协作的好。</font></p><p><font size="5">如果存在严重的问题，那一定存在交流上的问题！</font></p> 偶们医院偶每天就缠着偶们微生物的副主任，工作好做多了，而且建立起友谊 <div class="quote"><b>以下是引用<i>公卫小石</i>在2007-4-22 22:22:51的发言：</b><br/>偶们医院偶每天就缠着偶们微生物的副主任，工作好做多了，而且建立起友谊</div><p>说说怎么缠的,,,,,,介绍下经验.......</p> 沟通是关键,团结是力量. 本帖最后由 dxyylsm 于 2011-1-9 12:36 编辑这个问题在贫困地区基层医院还有一定意义.
微生物室除本身加强自身业务外,要积极容入医院感染管理工作, 主要是向院感通报临床检出的传染性病原菌和多重耐药首先菌;定期总结并公布临床主要检出的细菌及耐药率.这样的话院感科是不会要那个报告单的.
如果微生物室认为医院感染管理单纯是院感科的事,将第一手的临床微生物资源据为已有,而让院感专职人员自已在临床病历中捡寻统计细菌培养结果或者拿一本除了实验员自已近期认得时间长了都不知为何物的实验登记本让院感科去统计.这时院感科做为管理职能的部门有必要也有权要求微生物室送检验报告复件给院感科.
当然在HIS\LIS系统完备的医院是没有这些烦事的. 微生物室排除在医院感染之外合乎规范吗？答案理所当然：不合乎规范！离开微生物室强劲支持，医院感染控制管理将一事无成。要求微生物室每天给医院感染科发一份检验报告单何用有之？{:1_17:}
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