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目的加强产房环境和人员的监测,降低新生儿脓疱疮的发病率。方法实时监测新生儿脓疱疮发生率,聚集发病时进行临床资料和环境卫生学流行病学调查。结果 2013年12月发生新生儿脓疱疮4例,发病率为0.97%,明显高于其他月份。患儿分泌物分离出金黄色葡萄球菌。从助产士鼻腔和手,沐浴室洗澡网托和护士工作服中分离出金黄色葡萄球菌,药敏结果与患儿分泌物分离菌株药敏谱一致。采取了将带菌助产士调离直接接触婴儿的岗位,取消洗澡用网托等一系列干预措施。连续监测3个月,无新感染病例发生。结论助产士鼻腔携带致病菌,环境、物品和设备消毒不到位,医护人员手卫生依从性差是造成感染发生的重要原因。应加强产科病区的环境和物品的消毒工作,加强工作人员鼻腔和手携带病原菌情况检测,以便及时采取干预措施。
Objective To strengthen the delivery room environment and personnel monitoring, reduce the incidence of impetigo neonatal. Methods The incidence of impetigo in neonates was monitored in real time, and clinical data and epidemiological investigation of environmental hygiene were collected. Results In December 2013, 4 cases of impetigo occurred, the incidence rate was 0.97%, which was obviously higher than other months. Children’s secretions isolated Staphylococcus aureus. Staphylococcus aureus was isolated from the midwifery and hands of midwives, bath netting nurses and nurses’ overalls, and the drug susceptibility results were consistent with those of isolates of children with secretions. Taken to bring the carrier midwife direct contact with the baby’s position, abolition of a bath with a net care and a series of interventions. Continuous monitoring of 3 months, no new infections occurred. Conclusion Midwife nasal pathogenic bacteria, disinfection of environment, goods and equipment are not in place, and poor health care workers hand hygiene compliance is an important cause of infection. The disinfection of the environment and articles of the obstetrics wards should be strengthened to enhance the detection of the nasal cavity and hand-carried pathogens by staff so that timely interventions can be taken.