ABSTRACT
Objective:To learn the application of nosocomial infection prevention and control measures as stipulated in COVID-19 emergency plans by medical institutions at all levels in the region, for the purpose of strengthening epidemic prevention and control.Methods:During March 12-13, 2020, customized questionnaires were used to learn from 186 hospitals and medical institutions regarding the basics of their nosocomial prevention management departments, emergency plan application and revisions made. Comparison of the ratios or constituent ratios were tested with χ2 test, while the continuous variables analysis between groups was verified with one-way ANOVA. Results:77.53% of the medical institutions had set up independent nosocomial infection management departments, and 87.30% of the institutions were qualified. 80% of the medical institutions had in place emergency plans for respiratory infectious diseases, but 98.05% of them had revised their plans during the pandemic, with an average of 10.85 newly added and revised provisions. Only 30.11% of emergency planed provide for clearly graded early warning.Conclusions:Efforts should be upgraded to develop an emergency prevention and control system for infection prevention and control in epidemics, and improve technical support for infection prevention and control in the system; to strengthen the clearly-graded early warning and graded responses in a scientific manner; and conduct regular drills, revise plan to ensure its applicability.
ABSTRACT
OBJECTIVE Based on the situation of orthopedic surgery patients infected with Pseudomonas aeruginosa,to choose the reasonable treatment and apply the best surgery chance.METHODS The wound secretion from the different orthopedic surgery patients with different infection time was collected,cultured and examined the Pseudomonas aeruginosa,in order to select the antibiotic treatment according to the drug sensitive tests.RESULTS From 252 cases monitored there were 53 patients with positive P.aeruginosa strains,24 patients(45.3%) of whom were cured aften treatment,25 patients(47.2%) were ameliorated,3(5.7%) were invalid and 1(1.9%) was dead.CONCLUSIONS The patients after orthopedic surgery could have the P.aeruginosa infection,the reasonable antibiotic treatment is the guarantees for the best surgery.