|本期目录/Table of Contents|

[1]方红梅,沈小玥,穆小苏,等.医院感染实时监控系统在9例烧伤患者中的应用[J].医学研究与战创伤救治(原医学研究生学报),2016,18(03):237-239.[doi:10.3969/j.issn.1672-271X.2016.03.004]
 FANG Hong-mei,SHEN Xiao-yue,MU Xiao-su,et al.Application of Hospital infection real-time monitoring system in severe burn patients[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(03):237-239.[doi:10.3969/j.issn.1672-271X.2016.03.004]
点击复制

医院感染实时监控系统在9例烧伤患者中的应用()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年03期
页码:
237-239
栏目:
出版日期:
2016-06-30

文章信息/Info

Title:
Application of Hospital infection real-time monitoring system in severe burn patients
作者:
方红梅 沈小玥穆小苏徐晓莉尹湘毅黄慧敏尹 诺李亚楠
210002江苏南京, 南京军区南京总医院感染管理科
Author(s):
FANG Hong-mei SHEN Xiao-yue MU Xiao-su XU Xiao-li YIN Xiang-yi HUANG Hui-minYin NuoLI Ya-nan.
Department of Infectious Management, Nanjing General Hospital of Nanjing Military Command,PLA, Nanjing, Jiangsu 210002, China
关键词:
医院感染实时监控系统大面积烧伤
Keywords:
nosocomial infection real-time monitoring system severe burn
分类号:
R644
DOI:
10.3969/j.issn.1672-271X.2016.03.004
文献标志码:
A
摘要:
目的 医院感染实时监控系统在大面积烧伤患者中应用的时效性。方法 利用医院感染实时监控系统对9例大面积烧伤患者进行实时监测指导临床工作。重点对中心静脉插管、致病菌、感染漏报,抗菌药物应用等进行实时监控。结果 医院感染实时监控系统信息收集、传递速率快,识别医院感染病例的时效性程度和监控能力显著提高。9例患者共进行中心静脉置管30例次,其中2例患者达到导管相关血流感染的诊断标准。感染病原菌主要为鲍曼不动杆菌、金黄色葡萄球菌、铜绿假单胞菌和肺炎克雷伯菌等。多重耐药菌株多见。感染漏报率明显下降。结论 应用医院感染实时监控系统,能提高感染控制的及时性和准确性,实现了全程监控,提升感染管理工作效率。
Abstract:
Objective The timeliness of Hospital infection real-time monitoring system in severe burn patients. Methods Monitor 9 cases of severe burn patients by Hospital infection real-time monitoring system, including central venous cannula, infection of pathogenic bacteria, omission and application of antimicrobial agents and so on. Results The process of collection and transmission of the information system were faster. The timeliness and efficiency of the monitoring system were significantly improved. 9 patients had peripheral inserted central catheter for a total of 30 cases, among them 2 patients reached the standard in the diagnosis of catheter-related bloodstream infection. Pathogenic bacteriaes were mainly for acinetobacter baumannii, staphylococcus aureus, pseudomonas aeruginosa and klebsiella pneumonia bacteria. Multiple drug resistance (MDR) strains were popular. Non-response rates of infection decreased obviously. Conclusion Hospital infection real-time monitoring system can improve the timeliness and accuracy of infection management, and achieves whole-process monitoring, thus helps infection management become more efficient.

参考文献/References:

[1] 黄学忠,金彬彬,林佩佩,等.细菌耐药监测预警系统的设计与应用[J].东南国防医药,2012,14(4),301-304.
[2] 王丽莉,董 娟.大面积烧伤患者护理措施探讨[J].河南职工医学院学报,2014,26(2):190-191.
[3] 韩 雷,朗 爽,马 瑞,等.医院感染信息控制系统应用与评价[J].中华医院感染学杂志,2015,25(8):1903-1905.
[4] 王 茜, 赵 峰.军队医院感染实时监控系统的功能应用[J].医疗装备, 2014,27(11):15-16.
[5] 方红梅,黄慧敏,尹湘毅,等.我院感染实时监控系统的应用与体会[J].江苏卫生事业管理, 2015,26(1):49-50. [6] 陆伟玲, 邵亚琴, 孙 红.抗菌药物临床应用调查分析[J].东南国防医药,2007,9(1):27-28,51.
[7] 黄慧敏,徐晓莉,尹湘毅,等. 批量重度烧伤患者中心静脉置管相关血流感染病例分析[J].中国感染控制杂志,2015,14(3):181-183.
[8] 孙明洁,李 健,张付华.医院感染实时监控系统应用与实践[J].中华医院感染学杂志,2013,23(16):4023-4024.
[9] 吴益佳,彭根英.医院信息系统优化手术部位感染监控流程[J].中医药管理杂志,2015,23(9):140-141.
[10] 杜明梅,刘运喜,索继江,等. 医院感染暴发实时监测预警的实现及临床应用[J]. 中华医院感染学杂志,2012,22(14):3104-3106.
[11] 刘 英,吴 昊,邹 英,等. 3款医院感染监测软件的应用体会[J].国际检验医学杂志,2013,34(24):3284-3286.
[12] 李亚妹,王 亮,栗爱珍,等.医院感染因素与预防控制措施[J].中华医院感染学杂志,2015,25(6):1408-1414.
[13] 徐晓莉,史兆荣,胡佳乐,等.全程精细化管理在批量大面积烧伤伤员感染防控中的应用[J]. 医学研究生学报,2015,28(7):755-758.

相似文献/References:

[1]黄荔红,吴鲤霞,王 佳,等.医院感染绩效考核指标量表的信效度研究[J].医学研究与战创伤救治(原医学研究生学报),2013,15(04):343.[doi:10.3969/j.issn.1672-271X.2013.04.008]
 HUANG Li-hong,WU Li-xia,WANG Jia,et al.Reliability and validity of the scale performance evaluation index of hospital infection[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(03):343.[doi:10.3969/j.issn.1672-271X.2013.04.008]
[2]黄慧敏,汪春晖,方红梅,等.用制度规范重症监护病房医院感染管理[J].医学研究与战创伤救治(原医学研究生学报),2012,14(06):563.
[3]曹方余,魏宗赛,颜永周,等.某院妇产科患者医院感染因素调查与分析[J].医学研究与战创伤救治(原医学研究生学报),2012,14(03):233.
 CAO Fang-yu,WEI Zong-sai,YAN Yong-zhou,et al.The investigation and analysis about the nosocomial infection factors of patients hospitalized in the department of obstetrics and gynecology[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(03):233.
[4]杨 勇,雷万生,冯青青,等.对应急作战中医院感染预防控制的思考[J].医学研究与战创伤救治(原医学研究生学报),2010,12(02):140.
[5]曹方余,陈剑云,魏宗赛,等.驻军某医院感染现患率调查与分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(05):417.
 CAO Fang-yu,CHEN Jian-yun,WEI Zong-sai,et al.Investigation and analysis on prevalence rate of nosocomial infection in a military hospital[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(03):417.
[6]杨芳,魏宗赛,叶小兰.某医院深部真菌感染调查分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(05):423.
 YANG Fang,WEI Zong-sai,YE Xiao-lan.Analysis of hospital-acquired eumycete infection at a local military hospital[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(03):423.
[7]曹方余,余 海,魏宗赛,等.恶性肿瘤患者医院感染相关因素的调查与分析[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):616.[doi:10.3969/j.issn.1672-271X.2014.06.017]
 CAO Fang-yu,YU Hai,WEI Zong-sai,et al.The investigation and analysis of nosocomial infection with malignant tumor[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(03):616.[doi:10.3969/j.issn.1672-271X.2014.06.017]
[8]梅卫玲,张建东,毛斐冰,等.一起腺病毒爆发疫情处置的医院感染防控[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):666.[doi:10.3969/j.issn.1672-271X.2014.06.037]
[9]薛 凡,周剑锋.重症监护病房的患者探视方式效果研究[J].医学研究与战创伤救治(原医学研究生学报),2015,17(06):650.[doi:10.3969/j.issn.1672-271X.2015.06.028]
[10]沈小玥,穆小苏,黄慧敏,等.医院感染横断面调查在内科系统中的应用分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(05):461.[doi:10.3969/j.issn.1672-271X.2016.05.004]
 SHEN Xiao-yue,MU Xiao-su,HUANG Hui-min,et al.Analysis and investigation of cross sectional nosocomial infections in a general hospital of internal system[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(03):461.[doi:10.3969/j.issn.1672-271X.2016.05.004]

备注/Memo

备注/Memo:
中华医院感染控制研究基金(ZHYG2014-0037)全军后勤科研计划课题(CNJ14L004)南京军区医学科技创新课题(14MS106)南京总医院军事医学项目(YYMS2014017)
更新日期/Last Update: 2016-05-20