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Objective To analyze the correlation between neonatal methicillin-resistant Staphylococcus aureus (MRSA) colonization rate and MRSA nosocomial infection (hospital infection), and provide a theoretical basis for clinical interventions to prevent and reduce MRSA nosocomial infection. Methods From January 2014 to December 2018, 10 864 children who were admitted to the neonatology department of the hospital were retrospectively analyzed for the results of MRSA colonization screening and the occurrence of MRSA in throat swabs. The data collected from the old ward of the neonatology department of the hospital from 2014 to 2015 was used as the control group, and the data from the relocation to the laminar flow ward from 2016 to 2018 was used as the observation group. Results 482 strains (4.44%) of MRSA colonization were detected in 10864 newborns, of which 406 strains (84.23%) were detected in the control group and 76 strains (15.77%) were detected in the observation group. The detection rate of MRSA colonization strains in the two groups of newborns was compared, and the difference was statistically significant (P<0.05); 10,864 newborns had MRSA hospitalization in 9 cases, including 3 cases in the control group (0.07%), and 6 cases in the observation group (0.09). %). The incidence of MRSA hospitalization among the two groups of newborns was compared, and the difference was not statistically significant (P>0.05). Conclusion The transformation and upgrading of neonatal inpatient wards and the improvement of supporting hardware and software can effectively reduce the MR SA colonization rate; comprehensive intervention measures based on standard prevention can well control the transformation of neonatal MRSA from colonization to hospitalization. [ABSTRACT FROM AUTHOR]

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目的了解智能预警信息系统联合信息化管理对医院感染病例监测效率及效果方面的促进作用。方法该院从 2017年10月1日启用医院感染智能预警信息系统,并且联合信息化管理进行医院感染病例监测,调查启用前(2016年10月至 2017年5月)及启用后(2017年10月至 2018年5月)的医院感染病例,比较医院感染智能预警信息系统联合信息化管理应用前 后临床医生医院感染上报情况,结果 启用后医院感染例次率、上报及时率(2.92%､83.35%)显著高于启用时(1.87%, 65.36%),差异均有统计学意义(X = 96,718.11.458,P<0.001); 启用后医院感染误诊率､感染漏报率(12, 53%､1.59%)显著低 于启用前(17.95%、5.88%),差异均有统计学意义( 79.908、25.872,P<0.001)。结论 利用医院感染都能预警信息系统和 信息化管理可及时发现医院感染,提高临床医生医院感染上报正确性和及时性,降低医院感染漏报率,提高医院感染病例监测工 作效率和准确性。 [ABSTRACT FROM AUTHOR]

目的了解四川省宜宾市八县两区二级及以下基层医疗机构医院感染(院感)管理专/兼职人员现状,为四川省宜 宾市建立区域化院感防控(感控)规范化培训基地的可行性提供决策依据。方法 2018 年 4-5 月设计问卷星调查问卷,生成二 维码,再将二维码发到四川省宜宾市感控微信群和 QQ 群,各二级及以下医疗机构院感管理专/兼职人员通过扫描二维码进行问 卷调查,共调查 318 家医院的 499 名院感管理专/兼职人员。结果499 名院感管理专/兼职人员中院感科兼职人员358名 (71.74%),主要由护理部人员兼职[70. 11%(251/358)];性别以女性为主[91, 98% 459/4990], 年龄 35~45 岁为主 [46.29%(231/499),学历以中专 大专为主[分别为 40.88%(204/499)、40.28%(201/499)],专业队护理为主[76.95%(384/ 499],专业技术职务以初级为主[48.90%(244/499),发表院感相关论文以0篇为主[90. 38%(451/499)],参加院感管理岗位培 训并取得院感管理岗位培训证 278名(55,71%,院感知识知晓率以70%~80%为主[66.53%(332/499)]。结论四川省宜宾市 二级及以下医疗机构院感管理队伍人员配备欠合理,专业比例不合理,业务素质相对较低,需强化院感管理意识,加强专业素质建 设,尽快培养多学科人才,建立区域化感控规范化培训基地,有利于提高基层医疗机构感控能力,有效防范院感事件的发生,保障. [ABSTRACT FROM AUTHOR]

目的了祥某地市级三级综合医院外科医生手机污染状况，提高医务人员对手机污染状凡的重视程度，探究方便 可行的手机表面消毒措施。方法使用物表培养基印模采样法随机对50 名外科医生的手机正面与背面进行消毒前后微生物采 样，针对茼落进行计数并鉴定， 同时进行手机污染关注度与使用习惯问卷调查。结果外科医生手机污染关注度44% 、手机执行 率4% 。手机表面微生物检出阳性率为98% 、可疑致病菌检出率为26. 1 5 % ，使用复合双链季俀盐消毒湿纸巾擦拭后微生物检出 率降至3% ， 且受访者对消毒湿纸巾擦拭消毒手机的方式认可度较高。结论医疗机构在加强手卫生监管措施的同时及加强医 务人员手机的管理，使用消毒湿纸巾擦拭手机是一种医务人员接受度高、便捷有效的手机消毒措施。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)