在新生儿重症监护病房爆发Pseudomonas aeruginosa:从卡塔尔环境中吸取教训
Hawabibee Mahir Petkar1, Imelda Caseres-Chiuco2, Afaf Al-Shaddad3
1Department of Laboratory Medicine and Pathology, Microbiology Division, Hamad Medical Corporation, Doha, State of Qatar.
新生儿重症监护室 (NICU) 爆发的 Pseudomonas aeruginosa 与受污染的水槽水龙头有关. 解决水槽滥用问题和改善卫生习惯解决了疫情.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- Pseudomonas aeruginosa 在新生儿重症监护室 (NICU) 中对发病率和死亡率构成重大风险.
- 有效的感染预防和控制 (IPC) 策略对于减轻这些风险至关重要.
研究的目的:
- 为了调查 Pseudomonas aeruginosa 在国家产科医院的新生儿重症监护室的爆发.
- 确定未来IPC的贡献因素和经验教训.
主要方法:
- 通过临床样本和积极查来确定病例.
- 通过电子病历和IPC观察收集数据.
- 微生物学分析,包括脉冲场凝电泳,用于隔离类型.
主要成果:
- 确定了五例P. aeruginosa感染病例.
- 发现洗手盆水龙头出口的广泛污染.
- 关键因素包括不当使用水槽处理废物,不充分清洁,不良的手部卫生和环境缺陷.
结论:
- 多学科的方法对于疫情管理至关重要.
- 针对环境清洁,人员培训和沟通的干预措施成功控制了疫情爆发.
- 针对不同劳动力的定制培训对于有效的IPC至关重要.
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