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目的总结特大地震伤员多重耐药鲍曼不动杆菌群聚医院的感染防控策略,开辟多重耐药鲍曼不动杆菌以及其他多重耐药株医院感染防控新思维及有效方法。方法在华西医院预分诊处对地震伤员的伤口分泌物进行细菌学检查和分析,据此提出群聚医院感染防控策略并实施。结果地震伤员中伤口分泌物30例为多重耐药鲍曼不动杆菌经过采取群聚医院感染防控策略等综合措施,共有22例伤口分泌物培养阴性,病情痊愈出院;8例伤口分泌物系多重耐药鲍曼不动杆菌,病情相对稳定,未再有其他新的地震伤员伤口分泌物培养出多重耐药鲍曼不动杆菌。结论对多重耐药鲍曼不动杆菌地震伤员采取群聚医院感染防控策略,能有效控制多重耐药鲍曼不动杆菌及其他全耐药株医院感染。
Objective To summarize the infection prevention and control strategies of Acinetobacter baumannii multi-drug resistant hospital in large earthquake victims and to find out a new thinking and effective method to prevent and control nosocomial infections of Acinetobacter baumannii and other multi-drug resistant strains. Methods Bacterial examination and analysis were performed on the wound exudates of wounded people in the pre-diagnosis and treatment center of West China Hospital. Based on the results, the prevention and control strategies of cluster hospital infection were proposed and implemented. Results Thirty cases of wound excretion in the earthquake wounded were multi-drug resistant Acinetobacter baumannii. A total of 22 wound secretions were cultured negatively and the disease was cured. A total of 8 wound secretions Multidrug-resistant Acinetobacter baumannii, the condition is relatively stable, there are no more new earthquake wounded wound secretions of multi-drug resistant Acinetobacter baumannii. Conclusion The prevention and control strategies of cluster nosocomial infection in the multi-drug resistant Acinetobacter baumannii earthquake wards can effectively control the multi-drug resistant Acinetobacter baumannii and other drug-resistant strains of nosocomial infections.