首页> 中文期刊> 《重庆医学》 >重症监护病房鲍曼不动杆菌医院感染暴发调查与控制

重症监护病房鲍曼不动杆菌医院感染暴发调查与控制

         

摘要

Objective To explore the epidemiological feature of nosocomial infection outbreak caused by acinetobacter baumannii and effective measures for prevention and control. Methods Risk factors of 8 cases of nosocomial infection caused by acinetobacter baumannii occurred in 2 intensive care units(ICUs) during a week of August 2010 were analyzed,and intervention measures were taken targetly. Results Infections caused by acinetobacter baumannii in 2 ICUs were effectively controlled, with infection rate decreased from 28. 12% to 12. 50% and compliance rate of hand hygiene among medical staff improved from 35. 0% to 80. 0%. Conclusion Contamination of medical equipments and staff hands may be the major transmission routes of this infection outbreak. Strengthen the hand hygiene, disinfection of the environment and equipments can effectively control the nosocomial infection out-break in ICU.%目的 探索鲍曼不动杆菌医院感染暴发的流行病学特点及有效的预防控制措施.方法 对两个重症监护病房(ICU)2010年8月1周内发生的8例鲍曼不动杆菌医院感染的高危因素进行分析,针对性的采取干预措施.结果 两个ICU 鲍曼不动杆菌感染得到有效控制,例次感染率由28.12%下降到12.50%.医务人员手卫生依从性从35.0%上升到80.0%.结论 医疗设备污染及医务人员的手污染可能是这次感染暴发的主要传播途径,强化手卫生、环境及设备消毒能有效控制ICU医院感染暴发.

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