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目的调查本院血液透析室嗜麦芽窄食单胞菌疑似感染暴发的原因,实施针对性措施,杜绝再发。方法血透室2014年10月29~31日发生6例深静脉置管血液透析患者嗜麦芽窄食单胞菌疑似感染暴发,对其进行流行病学调查和环境物品卫生学检测,针对感染原因进行分析和采取严格防控措施。结果采集样本88份,其中空气3份均合格;消毒剂5份均合格;物表80份中合格62份,不合格18份。6例患者均转肾内科住院治疗2周后血培养阴性,出院继续门诊血透治疗。血透室连续观察2个月未再出现新发感染病例。结论血透室须加强患者及环境清洁与消毒,切断外源性感染途径,同时严格操作流程,可有效防范相关医院感染的发生。
Objective To investigate the causes of suspected Stenotrophomonas maltophilia outbreaks in our hemodialysis room and to implement targeted measures to prevent recurrence. Methods Hemodialysis room Occurrence of suspected Stenotrophomonas maltophilia outbreaks in 6 patients with deep venous catheter hemodialysis patients from 29 to 31 October 2014 was investigated by epidemiological investigation and environmental hygiene test. According to the causes of infection Conduct analysis and take strict prevention and control measures. Results A total of 88 samples were collected, of which 3 were air-conditioned; 5 were all disinfectants; 62 of the 80 samples were qualified and 18 were unqualified. 6 patients were transferred to the Nephrology Hospital for 2 weeks after the blood culture negative, discharged from the hospital outpatient hemodialysis treatment. Hemodialysis continued observation of two months no new cases of infection. Conclusion The hemodialysis room should be strengthened to clean and sterilize the patients and the environment, cut off the pathways of exogenous infection, meanwhile strict operation procedure can effectively prevent the related hospital infection.