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。
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？relat？ed bloodstream infection. Pathogenic bacteriaes were mainly for acinetobacter baumannii, staphylococcus aureus, pseudomonas aerugi？nosa and klebsiella pneumonia bacteria. Multiple drug resistance （ MDR） strains were popular. Non？response rates of infection de？creased 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.
出处
《东南国防医药》
2016年第3期237-239,共3页
Military Medical Journal of Southeast China
基金
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)
关键词
医院感染
实时监控系统
大面积烧伤
nosocomial infection
real-time monitoring system
severe burn
