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目的评估一起疑似鲍曼不动杆菌肺部感染暴发疫情现场控制措施的效果。方法采取前瞻性和回顾性相结合的调查方法,对某医院胸外科一起疑似鲍曼不动杆菌感染暴发PDCA控制效果进行分析和评价。结果该医院胸外科在2013年6月份连续发生5例患者鲍曼不动杆菌肺部感染事件。依照持续质量改进原理,采取调查、现场分析、消毒隔离措施、追踪监测和总结验收等循环管理措施,使这起疑似鲍曼不动杆菌感染暴发疫情得到有效控制,其后无新的病例出现。结论应用持续质量改进措施,有效控制了该医院鲍曼不动杆菌感染暴发疫情,取得良好的效果。
Objectives To assess the effectiveness of a site-specific control strategy for an outbreak of suspected Acinetobacter baumannii infection. Methods A prospective and retrospective survey method was used to analyze and evaluate the PDCA control effect of an outbreak of Acinetobacter baumannii infection in a thoracic department of a hospital. Results Five consecutive cases of Acinetobacter baumannii infection occurred in the thoracic department of the hospital in June 2013. In accordance with the principle of continuous quality improvement, take measures of investigation, on-site analysis, disinfection and isolation measures, follow-up monitoring and summary of recycling and other recycling management measures so that this outbreak of suspected Acinetobacter baumannii outbreaks have been effectively controlled, and no new cases. Conclusion The application of continuous quality improvement measures effectively controlled the outbreak of Acinetobacter baumannii infection in the hospital and achieved good results.