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Nursing emergency management practice of COVID-19 in a traditional chinese medicine hospital

Journal of Integrative Nursing 2020年第2期2卷 68-72页

作者： Jing ZHANG Jian-Hua DENG Ling TANG Xiao-Jia WANG School of Nursing Beijing University of Chinese MedicineBeijingChina Department of Urology Dongfang Hospital of Beijing University of Chinese MedicineBeijingChina Department of Nursing Dongfang Hospital of Beijing University of Chinese MedicineBeijingChina Intensive Care Unit Dongfang Hospital of Beijing University of Chinese MedicineBeijingChina

Nursing work is an integral part of hospital *** the challenge of the COVID-19 epidemic,it is particularly important to establish a timely and efficient nursing management *** nursing department of our hospital used the theory and method of feedforward control to formulate the emergency plan for epidemic prevention and control and to conduct *** plan includes the establishment of the emergency management system for epidemic nursing and key prevention and control positions,rational allocation of human resources,and strengthening personnel training,so as to ensure the efficient operation of nursing epidemic prevention and control work and provide a reference for nursing management mode during the epidemic.

关键词： COVID-19 nursing emergency system nursing management personnel allocation traditional chinese medicine hospital

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Epidemiology and microbiology of nosocomial bloodstream infections: analysis of 482 cases from a retrospective surveillance study

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2015年第1期16卷 70-77页

作者： Jian-nong WU Tie-er GAN Yue-xian ZHU Jun-min CAO Cong-hua JI Yi-hua WU Bin LV Department of hospital Infection Control the First Affiliated Hospital of Zhejiang Chinese Medical University Microbiology Laboratory the First Affiliated Hospital of Zhejiang Chinese Medical University Clinical Evaluation and Analysis Center the First Affiliated Hospital of Zhejiang Chinese Medical University Department of Epidemiology and Health Statistics School of Public Health Zhejiang University Department of Gastroenterology the First Affiliated Hospital of Zhejiang Chinese Medical University

In many traditional chinese medicine （TCM） hospitals, most patients are elderly with chronic diseases. Nosocomial bloodstream infections （nBSIs） are an important cause of morbidity and mortality. A retrospective sur- veillance study was performed to examine the epidemiology and microbiology of nBSIs in a TCM hospital from 2009 to 2011. A total of 482 patients with nBSIs were included in the study period. The incidence rate was 5.7/1000 admissions Escherichia coli （25.5%） was the most common Gram-negative and coagulase-negative staphylococcus （CONS）（14.1%） was the most common Gram-positive organism isolated. One-third of the E. coli and Klebsie/la pneumoniae isolated from the nBSIs were the third-generation cephalosporin-resistant. Half of the Acinetobacter species isolates were resistant to imipenem. Of all the CoNS isolates, 90.7% were resistant to methicillin. Carbapenems and glyco- peptide were the most frequently used for nBSI therapy. Only about one-third of patients （157/482） received appro- priate empirical therapy. Septic shock, hemodialysis, Pitt bacteremia score 〉4, urinary tract infection, and appropriate empirical therapy were most strongly associated with 28-d mortality. The incidence of nBSIs was low in the TCM hospital but the proportion of nBSIs due to antibiotic-resistant organisms was high. A high Pitt bacteremia score was one of the most important risk factors for mortality in nBSIs. Therefore, the implementation of appropriate empirical therapy is crucial to improve the clinical outcome of nBSIs.

关键词： Nosocomial bloodstream infection traditional chinese medicine hospital Epidemiology Microbiology

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