Investigation and analysis on carrying nuc-mec A gene situation in outpatient and inpatient departments / 国际检验医学杂志

Objective To investigate the carrying situation of nuc-mec A gene for different departments in the inpatient depart-ment and outpatient department to provide the data for the hospital infection control and reaching the target for preventing nosoco-mial infection and improving the cure rate.Methods The research subjects were divided into 4 groups:osteoarthropathy and hemi-plegia rehabilitation department group(A,44 cases),comprehensive surgical and hematology-oncology department group(B,32 ca-ses),cardiopulmonary department group(C,17 cases)and outpatient department group(D,35 cases).The group A,B and C were the persons in the inpatient department and the group D were the persons in the outpatient department,aged 30-84 years old.Na-sal swab samples were collected and the nuc-mec A gene was detected by the multi-channel real-time PCR.Results No person in the group A,B and C carried nuc gene and 1 case(2.86%)in the group D carried nuc gene.There were no statistically significant differ-ence among 4 groups(P >0.05);the carriers of mecA gene in the group A,B,C and D were 26,17,13 and 10 cases,the carrying rates were 59.10%,53.10%,76.50% and 28.60% respectively,the difference showed statistical significance(P 0.05);the carrying rate of nuc-mec A gene showed statistically significant differences between the patients and the medical staff(P 0.05).Conclusion nuc-mec A gene generally exists in the inpatient de-partment and the carrying rate of nuc-mec A gene is relatively lower,which indicates that the inpatient department needs to pay at-tention to the prevention and treatment of pathogenic bacteria,especially the de-clonization in the hemiplegia rehabilitation and car-diopulmonary departments for avoiding cross-infection among different departments.

Study on the pattern of military medical combinated policlinic Mau Son in Lang Son province

A recommended model of civil military polyclinic was established by the military group B38 in Lang Son province and 6 communal health stations. With this model, the quality of health service activities was strengthened considerably in terms of emergency diagnosis and treatments. The personel staff of communal health station was promoted with the aids from the military side, the difficulties in emergency and treatments were resolved significantly. A combining system of health service was created in this important region of defense and security