Tighten and infect and manage this string in the courtyard

Tighten and infect and manage this string in the courtyard
Tighten and infect and manage this string in the courtyard
Staff reporter Kong LingMin After the first affiliated hospital and 8 neonatal death incidents of medical college of Xi'an Communications University happen, unite the expert panel and garrison in this institute and carry on the investigation. Infect, manage the intersection of head of the department and 600 million introductions Li according to the intersection of investigation group and member, the intersection of Peking University and first hospital, infected the infant in 9 suspected institute ' 8 death) among them There is feverish, reducing, bleeds all over, the clinical manifestation that many internal organs functions are depleted,etc. of blood platelet, and the condition develops very fast, died in the same way on September 3 after the example if one appears on September 2 to have illness coming on. On September 8, new born pediatrics is reported to medical matters of the hospital, the hospital infects and manages the department to get involved; Example that after September 10 not to have illness coming on newly; Death case did not appear after September 15. Through investigating, the expert panel judges this is that contacts and spreads through sex intercourse the hospital caused and infects and breaks out the incident. The sterilized facilities of hand are like not to also have after the accident happened, the relevant expert dissects the corpse to a death infant, have made bacteria to train to 9 infants, and carried on C to reflect to 3 among them albumens are measured, have not found the masculine gender, has basically got rid of the possibility of the bacterial infection. But because the death infant's corpse was not kept, an only improvement infant has already left hospital, the relevant ward has already been sterilized many times too, so it is already very difficult to initiate the pathogen of the condition to make clear, the group of inquiry can only infer according to various materials, time to concentrate on having illness coming on, the infant's clinical symptom: This may be an incident that the virus infect. According to 600 million introduction Li, relevant 9 infant premature delivery, low weight, the intersection of resistance and weak neonate, itself is the high-risk group that infected in the courtyard. Meanwhile, the investigation group finds too this institute has a hidden danger in infecting control and management in the hospital, analyse and judge through epidemiology, this may be a contacting and spreading through sex intercourse infection that cause incident. Though when the investigation group reaches the hospital, this institute has already improved the control measure infected in the multiple courtyards, but the investigation group has found some hidden dangers, among them control the exposed toing important measure of propagating - -Much careless omission exist in the hand hygiene: The disinfection facilities of the hand hygiene can be said and had whether we can say too. Xi'an Communications University enclosed the neonatal ward of the institute to lie in the new building of the hospital, came into operation formally last year. But the investigation group finds, the neonatal ward of this institute is not designed for neonate specially, but was reconstructed by adult's ward, a toilet of a ward, there is no single washing the hand pool in the room. This means, in a ward living in many infants, if medical worker washes hands once after dealing with a child, will travel to and fro between bathroom and sick bed many times. Li 600 million think such a design reduce the intersection of medical worker and the intersection of compliance and to have hand greatly. In the bathrooms of this courtyard of wards, the investigator finds, the faucet that is washed hand pool is manual, even if the medical worker has washed hands, but the still possible pollution again when turning off the tap. In addition, in entering the specialized passway of the medical worker of the inpatient area of new born pediatrics, the investigator has not discovered and washed the hand pool or done disinfectant of hand rapidly. As far as investigation group know, also there are ICU inpatient areas in the neonatal ward of this institute, all infants no matter the weight of condition is used and had a bath in the pool samely, but the one that had a bath and protected children and had a bath in the pool was protected and holding and only sterilizing once each day. In a situation that each child will have a bath every day, this protects and holds and probably becomes another potential intersect infected in the courtyard. Infect hidden danger while being numerous reason safe the intersection of consciousness and indifferent Li 600 million say hospital infect divide into other source, infect and infect while being endogenous mainly since, through strengthening pathogen isolating, operating aseptically, hand hygiene, the majority is infected and can be prevented. A lot of infection hidden dangers that this incident exposes, have a clear regulation in " the hospital infects management ", just the file has been sent, stipulate have, but it not only need time to need efforts even more to implement. Generally speaking, 200 should allocate first the intersection of institute and the intersection of sense and person to 250 berth, but equipped with more than 2600 berths Xi'an Communications University enclose institute allocate 5 full-time the intersection of institute and the intersection of sense and person only altogether. " the hospital infects management " still requires the hospital to infect and manage the department to set up as an independent department, in order to finish the corresponding duty better. And this incident shows, a lot of hospitals are for controlling the consciousness that is infected in the courtyard to be still quite indifferent. Li 600 million think, want, infect, control, run through medical the whole course of activity really hospital, must make, control idea that is infect deepen in the medical worker heart in the courtyard. "Xi'an Communications University encloses the institute to present this incident, we can say it is not accidental but inevitable. " Li 600 million say hospital infect monitor and is divided two parts into mainly, one is monitored voluntarily by infectious disease department, one clinician initiative to report to. And institute this appear the intersection of many cases and the intersection of death and case, lie in clinical department can appear in the newspaper, infect, manage department, can get involved in time in time mainly. " the hospital infects management " stipulates clearly, where understand one's own key sector, high-risk group in every hospital, and make the corresponding control measure. So, this incident reminds the hospital to strengthen every department, especially endanger the control of the ward high in key sector such as ICU, neonate, organ transplant,etc.. Meanwhile, once clinical medical worker discovers the problems, should remove worry, report voluntarily.


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