transmission of multi-resistant bacteria, the following measures are formulated:
I. When the microbiology laboratory discovers multi-resistant strains, it will immediately notify the department in which it is located by telephone and issue a written report in time, and stamp "multi-resistant strains, please isolate" on the report form with a red
chapter; at the same time, it will notify the Hospital Infection Management Department by telephone. "
Red
stamp on the report form; at the same time, notify the Hospital Infection Management Department by phone.
Second, after receiving the report from the microbiology laboratory, the Hospital Infection Management Department will conduct epidemiological
investigations in a timely manner, and urge the clinical departments to take timely preventive and control measures.
Three, the clinical department received the report of "multi-drug resistant strains", immediately reported to the department head, nursing
nurse, to take appropriate preventive and control measures. If the diagnosis is hospital-acquired infection, fill in the "hospital-acquired infection report card" and report to the Infection Management Department.
Four, multi-drug-resistant bacteria infected and colonized patients, according to "contact transmission" isolation prevention.
1, the patient's isolation:
(1) the patient is placed in a single isolation room, unconditionally, can be infected with the same pathogen
patients are placed in a room, (can not be multi-drug-resistant bacteria infected or colonized with tracheal intubation,
Deep venous catheterization, open wounds or immune suppression of the patient is placed in the same room).
(2) Limit the patient's range of motion. (3) Reduce transfers, and if transfers are necessary, minimize contamination of other patients and environmental surfaces
.
2, protective isolation:
(1) enter the isolation ward, contact with the patient, including contact with the patient's blood, body fluids, secretions,
excretions and other substances, should wear gloves.
(2) Strictly enforce "hand hygiene" by removing gloves and washing and/or disinfecting hands before leaving the isolation ward and after contact with contaminated items.
(3) When entering the ward and engaging in operations that may contaminate work clothes, wear an isolation gown, take off the gown before leaving the
ward room, and hang it up according to requirements; or use disposable isolation gowns, and dispose of them according to the treatment of medical
waste after use.
(4) The isolation ward should have isolation markings to limit the access of personnel.
V. Strengthening environmental health management: keep the air fresh in the isolation room and ventilate regularly.
General medical equipment such as stethoscopes, thermometers, sphygmomanometers, etc. dedicated; can not be dedicated
use of equipment, each time after the use of the high level of disinfection should be carried out. Keep the ward clean, patients often
contact object surfaces, equipment, facilities surface (such as furniture, door handles, railings, etc.), every
day clean, wipe disinfection.
Six, pay attention to the rational application of anti-infective drugs. We will seriously implement the "Guidelines for the Clinical Application of Antibacterial Drugs"
principles, according to the results of bacterial culture and drug sensitivity test correctly and reasonably use anti-infective drugs,
progressively reduce and delay the production of drug-resistant bacteria.