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作者利用一个整体质量管理模型,成功地对通气设备相关呼吸道病进行了质控,结果在重症监护及创伤病人中通气设备相关性肺炎的发病率显著降低。 嗜麦芽糖杆菌是一种革兰氏阴性杆菌,具有条件致病性,当病人体质变弱时它就能够移生致病。该菌具呼吸道亲嗜性与ICU病房中通气设备相关性肺炎的发生及流行有关。1991年10月,从加拿大北方健康监护中心两名机械通气患者的呼吸道分泌物中分离出了嗜麦芽糖杆菌。此后,在征得传染控制部门的同意后,ICU与呼吸治疗的医护人员采取了控制措施,然而,2个月后,又有5名患者感染了该菌。为防止情况恶化,成立了一个由多学科人员组成的质控小组,其中包括:重症护理教学人员、医源流行病专家、呼吸内科、心脏内/外科ICU和传染病控制管理人员。
Using a holistic quality management model, the authors successfully conducted quality control of ventilator-associated respiratory disease and resulted in a significant reduction in the incidence of ventilator-associated pneumonia in intensive care and traumatic patients. Saccharomyces cerevisiae is a Gram-negative bacillus that has pathogenicity and is able to colonize the pathology as the patient’s constitution weakens. The bacteria with respiratory ecotropic and ICU ward ventilator associated pneumonia and the occurrence of epidemic. In October 1991, S. maltophilia was isolated from the respiratory secretions of two mechanically ventilated patients in the Northern Canadian Health Care Center. Since then, ICU and respiratory care medical staff have taken control measures with the consent of the infection control authorities. However, five more patients became infected with the bacteria two months later. To prevent the situation from deteriorating, a quality control team of multidisciplinary staff has been formed, including: critically ill education teaching staff, iatrogenic epidemiologists, respiratory medicine, cardiology / surgery ICU and communicable disease control managers.