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題名 | 神經內科加護病房Serratia Marcescens院內泌尿道感染群突發之調查=An Outbreak of Nosocomial Urinary Tract Infection with Serratia Marcescens in a Neurology Intensive Care Unit |
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作者 | 劉瓊芬; 蘇麗香; 劉建衛; 黃子秋; | 書刊名 | 院內感染控制雜誌 |
卷期 | 7:3 1997.06[民86.06] |
頁次 | 頁148-153 |
分類號 | 419.38 |
關鍵詞 | 院內泌尿道感染; Nosocomial urinary tract infection; Serratia marcescens; |
語文 | 中文(Chinese) |
中文摘要 | 某醫學中心神經內科加護病房於一九九六年五、六月間,發生多重抗藥性之Serratia marcescens院內泌尿道感染之群突發,共有十一個病人被感染。經由個案的資料分析及流行病學調查發現,感染病人皆放置道尿管。採樣檢驗發現,十二件集尿桶中有九件、十二件尿量杯中有三件,均培養出S. marcescens,與由病人尿液分離出菌株的生化反應及抗生素感受性完全相同,故認為可能之傳播途徑為先由一個感染或帶菌的病人污染到集尿桶、尿量杯經由集體收集處理的方式,再藉由工作人員的手傳播給其他病患,而造成此次群突發。經由更換新的集尿桶、尿量杯以去除感染源及加強實施導尿管感染管制措施,至十二月時已無新增個案發,故加強護理人員正確洗手和無菌技術及導尿管照顧與收集尿液相關器材處理的認知,有助於避免院內泌尿道感染之發生。 |
英文摘要 | Eleven cases of Serratia marcescens urinary tract infection were found between may and June, 1996 in the neurology intensive care unit (NICU) of a mdical center. An extensive microbiologic evaluation of the NICU environment failed to reveal the epidemic strain of S. marcescens. However it was isolated from 9 of 12 urine measuring containers and 3 of 12 urinometers. It is proposed that both contaminated urine measuring containers and urinometers served as inanimate reservoirs for the S. marcescens which was subsequently inoculated onto the hands of members of nurisng staff, and the microorganisms were in turn transmitted to the catheterized patients. After instituting control measures including cohorting, discarding all of the urine measuring containers and urinometers being used during outbreak, adopting effective disinfection measures for the new ones, ensuring nursing staff to stick to proper handwashing before and after handling patients as well as wearing gloves for all patient secretion contact and during catheter manipulation, no additional case of S. marcescens were found. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。