Holzman B H, Scott G B
Pediatr Clin North Am. 1981 Aug;28(3):703-21.
The control of nosocomial infection in a pediatric intensive care unit is important not only because of the serious nature of the patient's condition, but also because of the greater staff-patient contact and inevitable crowding of patients, staff, and equipment. In order to control the spread of nosocomial infection, the modes of transmission and the principles of infection control must be understood. Each patient with an infectious disease must be considered to be a potential source of nosocomial disease, and measures of infection control must be individualized for the infectious disease and for the level of intensive care required. The infection control committee of the hospital is an excellent source of advice in formulating care plans. Although compromises will inevitable be made between the ideals of infection control and intensive care needs, certain principles must be followed, the most important of which is proper handwashing between contacts and with patients.
在儿科重症监护病房控制医院感染很重要,这不仅是因为患者病情严重,还因为医护人员与患者的接触更频繁,以及患者、医护人员和设备不可避免地会拥挤在一起。为了控制医院感染的传播,必须了解传播方式和感染控制原则。每一位传染病患者都必须被视为医院感染的潜在源头,感染控制措施必须根据传染病的类型和所需的重症监护水平进行个性化制定。医院的感染控制委员会是制定护理计划的绝佳建议来源。虽然在感染控制的理想要求和重症监护需求之间不可避免地会做出妥协,但必须遵循某些原则,其中最重要的是在接触不同患者之间以及接触患者后要正确洗手。