Camins Bernard C, Fraser Victoria J
Division of Infectious Diseases, Washington University School of Medicine, St. Louis, USA.
Jt Comm J Qual Patient Saf. 2005 Mar;31(3):173-9. doi: 10.1016/s1553-7250(05)31023-3.
The Joint Commission on Accreditation of Healthcare Organizations has made the reduction of health care-associated infections one of its National Patient Safety Goals for 2005.
A 57-year-old man who underwent coronary artery bypass graft surgery was discharged from the hospital without any complications. During his routine follow-up surgery clinic visit two weeks later, his sternal wound was found to be infected. Wound and blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). IMPLEMENTING SOLUTIONS: Health care workers at Barnes-Jewish Hospital (BJH), St. Louis, attended a mandatory educational session that reviewed hand hygiene guidelines and the hospital policy related to hand hygiene and infection control. In addition, posters and flyers were posted. An increase in the use of alcohol hand rubs was found. In a later effort, a multidisciplinary hand hygiene campaign was launched at one of the BJC community hospitals. All physicians were sent hand hygiene materials and supplies, and signs were posted in key areas such as the hospital cafeteria. After a six-month period, the compliance rate increased from 35% to 53%.
Hospital-related infections will never be completely eradicated, but many can be prevented.
医疗保健机构认证联合委员会已将减少医疗保健相关感染作为其2005年的国家患者安全目标之一。
一名接受冠状动脉搭桥手术的57岁男子出院时无任何并发症。两周后，在他进行常规随访手术门诊时，发现他的胸骨伤口感染。伤口和血液培养结果显示耐甲氧西林金黄色葡萄球菌（MRSA）呈阳性。
圣路易斯巴恩斯-犹太医院（BJH）的医护人员参加了一次强制性教育会议，该会议回顾了手部卫生指南以及医院有关手部卫生和感染控制的政策。此外，还张贴了海报和传单。发现酒精擦手液的使用有所增加。后来，在BJC社区医院之一开展了一项多学科手部卫生运动。向所有医生发送了手部卫生材料和用品，并在医院食堂等关键区域张贴了标识。六个月后，依从率从35%提高到了53%。
医院相关感染永远无法完全根除，但许多感染是可以预防的。
