我们从1例急诊冠状动脉术后患者血液中培养出1例耐甲氧西林金黄色葡萄球菌(MRSA),现报告如下. 1 临床资料 1.1 病例患者,男,64岁,晚10:00时许无明显诱因出现心前区疼痛,伴胸闷、憋气,症状持续不缓解,无黑蒙、晕厥等其他不适,在家自行服用速效救心丸后症状无缓解,凌晨2:30点左右来我院急诊,查体心率130次/min,心律绝对不齐.血压121/60 mmHg.

OBJECTIVE To investigate hand hygiene of healthcare workers in burn ward in our hospital and provide scientific basis for the effective prevention and control of hospital infection in burn ward. METHODS Selected randomly 30 healthcare workers in burn ward and sampled from hands for bacterial culture. RESULTS The average colony of hand pathogens of the 30 healtheare workers was 105.42 CFU/cm~2 , the maximamwas 1093 CFU/cm~2.Among the hand pathogens, 40.91% were Bacillus subtilis, 36.36% were microcoecus and 13.64% were Staphylococcus aureus. CONCLUSIONS Hand hygiene of healthcare workers are not optimistic in burn ward.Strengthening the education of hand hygiene and raising the executable rate of hand hygiene are important measures to prevent and control the hospital infection in burn ward.

我院洁净部手术间自2005年3月2日正式投入使用,根据<手术部医院感染预防与控制技术规范>规定,我科需每月对各级别洁净手术间进行一次静态空气净化效果的监测并记录.通过两年多的空气监测实践,我们不断地根据手术室实际情况,改变准备和操作的过程,最终总结出一套适合本无菌手术间空气培养的具体方法与流程.