What causes the blood completely to infect third liver incident and take place frequently

What causes the blood completely to infect third liver incident and take place frequently
Staff reporter Sun Meng
From the beginning of last year to the beginning of this year, the blood dialyses a patient and infects third liver incident and repeatly appears in the newspapers in the end in the medical organization. Especially begin from the end of last year, dependent events such as Anhui three places, Hangzhou, Zhejiang and other places are exposed intensively, let the hospitals and supervision departments at all levels feel unprecedented pressure. Blood infect third completely why on earth incident concentrate on, take place within short-term liver? In a great deal of inducements of the incident, there is a obvious endangering the factor high on earth? How to reply in the future? To these questions, the reporter asks the relevant expert to carry on in-depth analysis.
Why happen in the basic unit more
The reporter knows, last March, after the blood happens to dialyse a patient and infect third liver incident in Shanxi two hospitals, Ministry of Public Health has made to the whole country once and known the real situation to investigate the medical organization completely of blood. The investigation result reveals, by last June, besides army's hospital, 3297 hospitals launched the blood completely in the whole country, 90 first class hospitals, the second hospital and 2058, 999 tertiary hospitals among them.
Review a series of incident from last year to the present, it is easy to find they mostly happen in the hospital at the basic level. Peking University first hospital the intersection of kidney and Zuo Li, chief physician of internal medicine department, say, watches from difference of this kind of incident incidence of hospital and large hospital at the basic level, standardized operation and strict hospital are infected and prevented and controlled, it must be helpful to reducing even avoiding the emergence of this kind of incident.
The kidney chief physician of internal medicine department Li Ming of BJ Union Hospital likes to say, while it is treated that the whole blood is dialysed, share the syringe among the patients, damaged skin exposed to glove that pollute, reply with person who dialyse changing the intersection of venous pressure and monitor and blood transfusion link and situation polluting, dialysing, infected with the possible route of third liver virus. It should carry out the blood completely strictly the infection of the centre defends controlling degree and operation regulation to cut off these routes, third person who dialyse, patient of liver, try not, reply until should also the extension is dialysed, the medical personnel changes gloves to different patients while carrying on operation, it is valid measures to transmit disease through blood and check etc. first when or change over to in the dialysis for the first time from other dialysis centres.
Peking University the intersection of the People's Hospital and blood the intersection of room and head nurse quick to participate in to the intersection of Anhui Province and the intersection of Huoshan and the intersection of county and hospital and the intersection of An'qing and the intersection of city and the intersection of Yicheng and the intersection of hospital and investigation of dependent event recently wingceltis have completely. She say two hospital these infect to exchange sense, have some generality problems at the link third liver completely in blood. For example, because some renewal of knowledge of medical personnel at the basic level is slow, result in operating unstandardly; Two the intersection of hospital and blood room wash the intersection of hand and pool completely, medical personnel hygiene unable to guarantee hand have, it is very difficult to prevent the blood from polluting. The medical organization at the basic level exists in management and slips, lack the hospital and infect knowledge to train, the local hygiene responsible institution supervises the factor of doing one's best etc., result in infecting the reason why the incident happens.
Peking University first hospital infect the intersection of head of the department and Li, 600 million say blood dialyse infect third liver, closely related to local social economic state of development and medical condition at that time, if a lot of patients at the basic level can't make the detection of the relevant index of hepatitis virology of higher accuracy because of the funds question, emergency case, hepatitis patient can't make sure the special plane dialyses etc.. One tertiary head nurse of hospital nephropathy centre in Beijing tells reporters too, in order to reach the requirement that the standard prevents, a large amount of input, and this kind of input will be too far behind to catch up for a lot of hospitals at the basic level that the hospital will often offer. The expert says, strengthen hardware construction and financial resource and material resource to the hospital at the basic level to support, there are important meanings in the control which the hospital infects.
The homology detection of virus can be clarified and infected the route
Blood infect, take place frequently, enable the hospital become the target of public criticism by third liver incident completely. Only ones that lead to the fact the incident takes place frequently in the hospital " The suspect " (used at the end of a special alternative, or rhetorical question)?
Vice President of Beijing Temple of Earth hospital, hepatopathy centre director Cheng Jun say, lead to the fact the reason why this phenomenon takes place is very complicated, should treat historically at first. He introduced, our country found third liver case in 1989, but did not begin to measure clinically until 1991, and it is from beginning to strengthen the blood completely and operate management because of our country in recent years, so there is a longer blank district in the middle. In recent several incident that appear in succession, third the intersection of liver and the intersection of antibody and positive patient have illness coming on people newly, but just knew recently, this and historical factored was concerned with through measuring.
Cheng Jun says, from telling objectively, the understanding of third liver virus of medical circle is limited at present. In the 1990s of last century, a some epidemiology investigation that our country did revealed, third liver antibody positive rate in the ordinary crowd is up to 3.2%. Third liver virus already known at present propagates several kinds of routes of having blood transfusion, invading operation, mother-to-baby transmission and spreading through sex intercourse etc., but these are not all. Third liver virus was measured " The window one " From 7 day to 42 day, without unification of the motherland the intersection of detection and reagent too up till now.
Expert point out blood the intersection of patient and own immunological function low completely, in the intersection of blood and operation completely still, the frequent blood is exposed and resulted in being infected with the virus hepatitis and other probability which transmit disease through blood and be obviously higher than the ordinary crowd. Study both at home and abroad to reveal, dialyse the longer time, the higher the probability which is infected with third liver virus is.
Establish an army to think, infect the gathering of third liver incident and happen completely to the blood, our country can determine the blood reason relation among third liver virus through the molecular biology method at present, thus judge whether to have homology nature among the gene. Through this technology, can help each side to clarify each in conformity with responsibility of the negative after an incident happen.
The guide should be clear to operate the detail more
Since the blood happens to dialyse a patient and infect third liver incident in Shanxi two hospitals at the beginning of last year, in order to prevent this kind of incident from recuring, from Ministry of Public Health to health authorities at all levels and then to medical organizations at all levels, have mostly taken the corresponding measure to keep a lookout. But what measures on earth can really play function?
Lee 600 million calls upon, when Ministry of Public Health will release relevant norm, guide and every medical organization to carry on the norm thinningly in the future, it be able to be clear that some following contents hope: Before get after dialysing a patient the next patient dialyses, should sterilize the machine inside; The medical personnel's hand hygiene needs continuing emphasizing; The dialysing device replies it while using, should be clear to the dialysing device and dialysing the treatment principle of the pipeline; Medical wastes and non- medical good-for-nothing should deal with separately.
It is reported, it will issued soon that " the blood dialyses the room and builds and manages the guide " in Ministry of Public Health, the intersection of blood and the intersection of place, facility, apparatus, person,etc. and terms that the room should possess completely, and the hospital is infected the norm of prevention and control the content of managing etc. and be reflected.
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