小儿急性腹泻病医院内交叉感染监测与控制  

Monitoring and controlling of cross-infection of acute diarrhea of children in hospitals

作　　者：方鹤松[1] 张振华[1] 关德华[1] 陈庆武 赵翠兰 赵锦铭[1] 张志良[1] 张未戕 贾梅[1] 孙吉萍[1] 于云[1] 龙庆敏 王俊侠[1] 陈炳筠 于福寿 徐江 戊秀芹 马晓红[1] 

机构地区：[1]首都儿科研究所,北京儿童医院,北京市崇文儿童医院,北京市顺义县医院儿科,北京朝阳医院儿科

出　　处：《北京医学》1996年第2期65-68,共4页Beijing Medical Journal

摘　　要：通过北京市五所医院儿科病房全年监测，发现病房非腹泻患儿粪便带菌率为３．０％，轮状病毒携带率为１１．７％。双手大肠杆菌污染率：陪住家长为４２．９％，卫生员为３３．３％，护士为１６．６％，医生为１１．５％。病房内环境物品污染率为２２．６％。全年发现６起腹泻医院内交叉感染，其中鼠伤寒及婴儿沙门氏菌各２起，致泻性大肠杆菌及轮状病毒各１起。结果显示腹泻病儿未早期诊断、早期隔离、工作人员双手及环境物品污染是发生交叉感染的关键。依据监测资料提出了控制对策。From a study of the cross-infection of acute diarrhea in the five pediatric wards of five different hospitals in Beijing,it found that the carrier rates of enteric bacterial pathogens and rotavirus were 3.0% and 11.7% respectively in the feces of patients without diarrhea. The contamination rate of colibacillus of the hands of the parents taking care of the diseased children was 42.9%,and that of the ward attendants 33.3%,and 16.6%,11.5% respectively of the nurses and the doctors.A positive rate of 22.6% of B. Coli was found over the clinical utensils. There were six episodes of acute diarrhea cross-infections in the five hospitals in whole year, among them,2 episodes were Salmonella typhimurium infections, 2 were Salmonella infantis,1 was E. Coli infection and 1 was rota virus infection. This study showed that the key points for controlling of diarrhea cross-infection are early diagnosis and prompt isolation of the patients with acute diarrhea as well as keeping clean of medical personnel heands and the ward utensils. This results suggest controlling the cross-infection of acute diarrhea in hospital.

关 键 词：腹泻病 医院感染 儿童 交叉感染 控制 

分 类 号：R512.501[医药卫生—内科学]