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        west china medical publishers
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        find Author "文琳" 2 results
        • Current situation and countermeasure of nosocomial infection management in secondary and above medical institutions

          Objective To understand the current status of nosocomial infection management in secondary and higher medical institutions in the city to find out the problems and put forward countermeasures. Methods According to the standard of " 19. Nosocomia Infection Management” in the evaluation standard of Sichuan Provincial General Hospital of 2011, the nosocomial infection management of 18 hospitals at or above grade 2 was supervised and evaluated on site. Results The average score of the 18 hospitals was 84.88±2.58. Organization and management had the highest pass rate (83.33%), while the catheter room had the lowest (33.33%). Concusion The 18 hospitals’ nosocomial infection management has been led to different degrees of attention, to build a hospital management organizational structure, developed a more comprehensive rules and regulations and work processes. But in key sectors and key links, the pass rate is still low, it needs to timely update the management concept, increase the necessary facilities and equipment for sensing and controlling, refine the control measures, formulate the pre-plan process and quality assessment standards and effectively implement.

          Release date:2017-07-21 03:43 Export PDF Favorites Scan
        • 重癥監護病房呼吸機相關性事件監測結果與分析

          目的了解重癥監護病房(ICU)呼吸機相關性事件(VAE)的發生狀況,為制定干預措施提供參考依據。 方法采用前瞻性監測方法,對2013年4月1日-7月31日所有入住ICU且使用機械通氣時間>2 d、年齡≥18歲的患者進行VAE監測,并與2012年同期呼吸機和相關性肺炎(VAP)監測情況進行比較。 結果監測到有效病例31例,共發生VAE 6例,發生率為19.35%;患者平均住院時間12 d,平均機械通氣時間10 d;預后:存活25例,死亡6例,病死率為19.35%;抗菌藥物使用率100%。2013年的VAE監測與2012年同期院內VAP目標性監測VAP千日感染率分別為2.83、29.57例/1 000導管日,差異有統計學意義(P<0.05)。 結論VAE監測及其診斷標準客觀量化、簡單易行,但是否適用于我國ICU患者VAP的診斷,值得商榷。

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