"Call someone from the hospital's infectious disease department to come and summarize the situation of nosocomial infections in the recent period." Director Wu Zhisheng drove back to the hospital by himself.

The secretary who knew him well was sitting in the back seat. He was as nervous as if he was surrounded by monkeys from Mount Emei. After getting out of the car, the secretary ran to find someone as if he was running away.

The dean's pressure was too low, and he was afraid that he would be harmed.

After a while, the bosses who had just had a celebration banquet together and the directors of various departments who had stayed behind in the hospital gathered together.

In Yunyi Medical's luxuriously decorated conference room, the directors of each department occupied a corner, like gorillas in the jungle.

"Have you reported any symptoms?"

"Twice a week? Why didn't anyone say anything?"

"Two people died in the neurosurgery department, and they both remained silent."

“Isn’t it normal for people to die during neurosurgery?”

Chats in the hospital are always ordinary but cruel.

The department directors exchanged news with each other and thought about how to pass the blame to the infectious disease department of the hospital, or any department.

In every department, some large and small nosocomial infections occur every year. The most common nosocomial pulmonary infection in China has an incidence rate of between 5 and 5%. Yun Medical neither strives to be the first nor does it

behind.

Gastroenteritis, which is also common, is also a typical case that is taken out by the hospital's infectious disease department for lectures every once in a while.

However, when nosocomial infections within a department spread to the entire hospital, this issue cannot but be taken seriously.

"Have you reached a conclusion?" When the dean opened the door again and came in, he neither said hello nor showed a smile. His eyes first found the director of the infectious disease department who left the hospital...

Needless to say, the directors of each department each found a seat and sat down obediently, so as not to be the first ones to be shot.

"Based on the recent infection situation in the hospital, it should be ma." The director of the hospital's infectious disease department responded with two major answers.

ma is methicillin-resistant Staphylococcus aureus, the most common multidrug-resistant bacteria.

If there is no prefix and it is just ordinary Staphylococcus aureus, then it is a small bacteria that can be easily killed by penicillin.

However, after adding the words methicillin-resistant, the lethality of this bacteria has greatly increased, and only a few antibiotics can still have an effect on it. The annoying thing is that every antibiotic treatment is not non-destructive.

The most serious thing is that even with the use of new antibiotics, MA infection still has a mortality rate of at least one in five.

In other words, if an outbreak infects 10 people and two people die, it is considered to be under control. In practice, three to five people are the norm.

Such a mortality rate makes Ma's appearance terrifying.

"Recently?" The dean stared at his face and asked, "What measures have you taken to solve the problems that have arisen in recent times? Why did this result?"

The director of the hospital's infectious disease department was speechless.

Although it is a drug-resistant strain, in the current hospital environment, the detection rate of MA is too high. Any high-end tertiary hospital can achieve a detection rate of 40%. However, the detection rate

It does not mean the proportion of illnesses, nor does it mean an outbreak.

If the emergence of ma in other departments is excusable, then the outbreak in the entire hospital must be the fault of the hospital's infectious disease department.

Watching people have sex and taking the blame for trouble is the life of the hospital's infectious disease department.

This was not the first time that the director of the Infectious Diseases Department of the hospital took the blame. After sorting out his thoughts for a while, he said: "There are indeed loopholes in the management of the Infectious Diseases Department of our hospital. First of all, we stipulate that infection incidents in each department should be summarized on a weekly basis.

Infection cases were reported every Monday in various departments, but we did not urge them to report them immediately, nor did we do a comprehensive analysis. Secondly, the confirmation time of MA is relatively long, generally taking more than 48 hours, from the discovery of the previous case to the subsequent

It took a lot of time to confirm, so many cases of infection appeared, and we only realized it later. Third, there is an increasing trend of MA carriers now..."

The dean waved his hands impatiently and said, "If you want to shirk responsibility, we'll talk about it later. Let's talk about the current situation first."

As a perennial scapegoat, the Infectious Diseases Department of the hospital also has a very high skill level in scapegoating. This is determined by the nature of the department. Just like obstetrics doctors, they will gradually gain experience in staying up late, and doctors in cardiac surgery,

Gradually, you will gain knowledge about holding in your urine, and orthopedic doctors will gradually gain knowledge about spending money...

Once the director of the hospital's Infectious Diseases Department uses all kinds of skills to shirk responsibility, today's meeting will be spent in wrangling.

The dean decisively suspended the pursuit of responsibility and suppressed his emotions. The director of the hospital's infectious disease department also quietly breathed a sigh of relief.

Before the director changed his mind, the director of the hospital's infectious diseases department quickly said: "From what we have gathered so far, in the past week, the respiratory department has reported three cases of MA disease, and the oncology department has two cases... Obstetrics and Gynecology

There are two cases in both the Department of Medicine and the Department of Pediatrics..."

Following his words, the expressions of the directors of each department became serious.

The director of the hospital's Department of Infectious Diseases first applied to the Department of Internal Medicine and Gynecology and Pediatrics, and then to the Department of Surgery: "There were three cases of ma in the neurosurgery department, three cases in the thoracic surgery department, and one case in the hand surgery department..."

The more the dean listened, the darker his expression became.

The bacteria in the internal medicine department are generally more complex than those in the surgical department. For example, in the respiratory department, MA patients often appear, and sometimes there are patients admitted from outside the hospital. For internal medicine, multi-drug-resistant bacterial infections are not uncommon, with two to three cases.

It can't be considered an explosion.

However, MA also occurs frequently in surgery, which proves that the problem is indeed serious.

"Print a copy and show it to me." Even if the dean didn't hear it, he said it to the secretary taking notes next to him. The latter quickly clicked on the print button and typed out the minutes of the meeting just now.

The dean looked over from top to bottom and silently counted.

After looking around, he suddenly frowned: "Director Huo, your emergency center still hasn't reported any symptoms?"

"We've confirmed it. I've checked it several times." Huo Congjun answered affirmatively.

The director didn't believe it at all. Even without him saying anything, the other directors frowned: "Lao Huo, it's pointless for you to be so clear about it now. Who doesn't know that the emergency department is a big black hole in the hospital? If you are promoted to the center, you can be promoted.

, there’s no need to stand out at this time.”

"What will you do without me? Can I give you an injection?" Huo Congjun's voice was very penetrating, like a rifle.

The director was unmoved and said: "Director Huo, carriers of ma can often be found in healthy people. It is not shameful to see it in your emergency center. We are ready to report it now. There is no need to hide it."

"We really have no cases of MA infection," Huo Congjun insisted.

"Where is the suspicion?"

"There are no suspected cases." Huo Congjun paused, his tone became serious, and said: "I have asked everyone to screen them all. Now I can't come up with any cases to report. It's not that I don't want to report them."

If there are no cases, there are no cases. Now when reporting, specific information must be packaged and uploaded, even suspected cases, which cannot be compiled.

The director looked at the director of the hospital's infectious disease department with a serious face: "What's going on? There is no MA report in the emergency center, so it is a complete nosocomial infection?"

The director of the hospital's infectious disease department secretly complained, which hospital infection was not a complete nosocomial infection? Can those who came in from outside count?

However, he could also understand what the director meant. The emergency center is a department with complex personnel and difficult to manage, and there are a large number of external patients. If there is no infection in such a department, it is worth considering.

The director of the hospital's infection department considered his tone and said: "The emergency center is the best in terms of hospital infection regulations, and it is also the best in implementation..."

Huo Congjun smiled and said nothing.

For someone who has been trolling for so many years, he is never afraid of other people's nonsense.

"So, the emergency center's regulations were well made and implemented, which prevented the outbreak of hospital infection within the department?" the director said solemnly.

"No outbreak of hospital infection is caused by a single factor. Correspondingly, if we can do a good job in preventing hospital infection, it is indeed possible to prevent the outbreak of hospital infection... Our current prevention and control measures are all

There are multiple protections, so as long as each department can strictly abide by part of the hospital infection regulations, or abide by most of the hospital infection regulations, the chance of an outbreak will not be too high..." The director of the hospital's infection department took the opportunity to pass the blame.

The dean was unmoved and said: "It is the business of the hospital's infectious disease department to urge the implementation of the hospital's infectious disease regulations. Let's not talk about it now. Director Huo, what exactly did you do here?"

"We mainly have Ling Ran doing the hospital inspection. I remember that some time ago, he also updated the new hospital inspection regulations and organized his own manpower to implement the hospital inspection. Looking at it now, it should be said that it was done well." Huo Congjun grinned.

With a smile, he responded to what the director of the hospital's infectious disease department had just said.

"Doctor Ling..." The dean, who was having a celebration banquet just now, thought in his mind and nodded: "Then let's ask Dr. Ling to explain that the outbreak of hospital infection is a catastrophic event. If there is a hospital infection event, we must both

Actively check for omissions and fill in the gaps, but also look at the bright side.”

The dean asked the secretary to call Ling Ran, then turned back and asked: "Let's go over the size and scope of the ma first, discuss a response plan, and then I will report to the superiors. What options are there now? We can do it right away."

of?"

The director of the hospital was overwhelmed by the questions. Huo Congjun quietly took out his mobile phone to send a message, feeling a little secretly proud of himself.
Chapter completed!