"Call the people from the Department of Infection Control to summarize the recent nosocomial infections." Hospital Director Wu Zhisheng drove back to the hospital.
His secretary, who was familiar with him, sat in the backseat. He was so nervous that he looked like he was surrounded by monkeys from Mount Emei. After he got out of the car, the secretary ran to look for him.
The hospital director's pressure was too low. He was afraid that he would be implicated.
After a while, the bosses who had just had a celebratory banquet gathered together with the department directors who stayed behind in the hospital.
In the luxuriously decorated conference room of Yun Hua Hospital, the department directors of each department sat in a corner like jungle gorillas.
"Did you guys register for infection control?"
"Twice a week? Why didn't anyone mention it? "
"Two people from the Neurosurgery Department died, and they didn't say anything."
"Isn't it normal for people from the Neurosurgery Department to die?"
The conversations in the hospital were always cruel.
The department directors exchanged information with each other and thought about how to push the blame to the Department of Infection Control or any other department.
Every department would have some cases of nosocomial infections of various sizes every year. The most common nosocomial infection in the country was pulmonary infection. Its incidence was between five percent to five percent. Yun Hua Hospital was neither the first nor the last.
Gastroenteritis, which was also common, was also used by the Department of Infection Control to lecture them every once in a while.
However, when nosocomial infections within a department spread to the entire hospital, this problem could not be ignored.
"Is there a conclusion?" When the hospital director pushed the door open again, he neither greeted nor smiled. His gaze first found the department director of the Department of Infection Control.
Needless to say, the department director of each department sat down obediently to avoid being the first to be shot.
"Based on the recent nosocomial infections, it should be MRSA," the department director of the Department of Infection Control answered with a headache.
MRSA was Methicillin-resistant Staphylococcus aureus, and it was also the most common multidrug-resistant bacteria.
If there was no prefix and it was just a normal Staphylococcus aureus, it would be a small bacterium that could be easily killed by penicillin.
However, after the word Methicillin-resistant was added, the bacteria's lethality increased. Only a few antibiotics could still work on it. The annoying thing was that every antibiotic therapy was not harmless.
Most importantly, even with the use of new antibiotics, MRSA infection still had a mortality rate of at least one-fifth.
In other words, an outbreak could infect 10 people and kill two people. In practice, it was normal for three to five people to be infected.
Such a high death rate made the emergence of MRSA even more terrifying.
"Recently?" The dean stared at his face and asked, "What measures have you taken to deal with the problems that have occurred recently? Why did this happen? "
The director of the Department of Infection Control found it hard to say anything.
Although it was a drug-resistant strain, in the current hospital environment, the detection rate of MRSA was too high. Any advanced Class Three Grade A hospital could pull out a detection rate of 40%. However, the rate of detection did not mean the rate of disease, nor did it mean an outbreak.
If MRSA were to appear in other departments, it would still be excusable. However, the outbreak of MRSA in the entire hospital was definitely caused by the Department of Infection Control.
It was the life of the Department of Infection Control to watch people commit crimes and take the blame when something went wrong.
It was not the first time the director of the Department of Infection Control took the blame. He sorted out his thoughts and said, "There are indeed loopholes in the management of our Department of Infection Control. First of all, we set a rule that the infection cases in each department are to be summarized and reported on a weekly basis. When infection cases appeared in each department, we did not urge them to report it immediately, nor did we do an overall analysis and collation. Secondly, the time to confirm MRSA is relatively long. It usually takes more than 48 hours. It took a lot of time to confirm the cases after they were discovered, so we only noticed it after many cases of infection. Thirdly, the number of MRSA carriers is increasing day by day … "
The dean waved his hand impatiently and said, "We'll talk about shifting the blame later. Let's talk about the current situation first."
As someone who took the blame for years, the Department of Infection Control was quite skilled in shifting the blame. This was determined by the nature of the department. For example, doctors in obstetrics and gynecology would gradually learn to stay up late, doctors in cardiac surgery would gradually learn to hold back urine, and doctors in orthopedics would gradually learn to spend money …
Once the director of the Department of Infection Control used all kinds of martial arts to shift the blame, the meeting today would end in a wrangle.
The dean decisively stopped pursuing responsibility and suppressed his emotions. The director of the Department of Infection Control also secretly sighed in relief.
Before the dean changed his mind, the director of the Department of Infection Control quickly said, "Based on the current situation, in the past week, the Respiratory Medicine Department has reported three cases of MRSA. The Oncology Department has two cases … The Gynecology Department and Pediatrics Department have two cases …"
As he spoke, the expressions of the department directors of each department became serious.
The director of the Department of Infection Control first reported the Internal Medicine Department and Gynecology Department, then the Surgery Department. "There are three cases of MRSA in the Neurosurgery Department, three cases in the Thoracic 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 were generally more complicated than those in the Surgery Department. For example, the Respiratory Medicine Department often had MRSA patients, and sometimes, they even had patients from outside the hospital. For the Internal Medicine Department, multidrug-resistant infections were no longer rare. Two or three cases could not be considered as an outbreak.
However, MRSA also appeared frequently in the Surgery Department, which proved that the problem was indeed serious.
"Print a copy for me to see." It was fine if the dean did not listen to it. He told the secretary who was taking notes beside him, and the latter quickly printed out the minutes of the meeting just now.
The headmaster looked at Zhang Xuan from top to bottom and counted silently.
After looking around, he suddenly frowned. "Department Director Huo, your Emergency Medical Center still hasn't reported nosocomial infection?"
"We confirmed it. I checked a few times," Huo Congjun answered affirmatively.
The dean did not believe him at all. He did not even need to say anything. The other department directors frowned. "Old Huo, it's meaningless for you to deny it now. Who doesn't know that the Emergency Department is a big black hole for nosocomial infection? You can be promoted to the Emergency Medical Center, but you don't have to stand out now, right?"
"What should I do without it? Inject you with a tube? "Huo Congjun's voice was very penetrating, like a rifle.
The dean was not moved. He said, "Department Director Huo, MRSA can often be found in healthy people. It's not embarrassing for it to appear in your Emergency Medical Center. We're going to report it now. There's no need to hide it."
"We really don't have any cases of MRSA infection." Huo Congjun insisted.
"What about suspected cases?"
"There are no suspected cases." Huo Congjun paused for a moment, and his tone became solemn. He said, "I've already asked someone to screen all of them. Now, it's not that I don't want to report any cases."
No cases meant no cases. Now, when reporting, specific information had to be packaged and submitted. There was no exception even if it was a suspected case. It was impossible to make it up.
The dean looked at the director of the Department of Infection with a grave expression. "What's going on? There's no MRSA report in the Emergency Medical Center, so it's a complete nosocomial infection? "
The director of the Department of Infection complained in his heart. Which nosocomial infection was not a complete nosocomial infection? Could it be counted if it came from outside?
However, he could also understand what the dean meant. The Emergency Medical Center was the most complicated department, and it was difficult to manage. Moreover, there were a large number of patients from outside. If such a department did not get infected, then it was very worth considering.
The director of the Department of Infection weighed his tone and said, "The Emergency Medical Center is the best in terms of nosocomial infection regulations, and it's also the best implementation …"
Huo Congjun smiled and said nothing.
As a person who had been scolding people for many years, he was never afraid of other people talking nonsense.
"So, it's because the Emergency Medical Center's regulations are good, and they're well implemented that they prevented nosocomial infection outbreaks in the department?" The dean's tone was solemn.
"No nosocomial infection outbreak is caused by a single factor. Correspondingly, if we can really do some nosocomial infection prevention work well, it's indeed possible to prevent nosocomial infection outbreaks … Our current prevention and control measures are multi-layered. So, as long as each department can strictly abide by some or most of the nosocomial infection regulations, the probability of nosocomial infection outbreaks will not be too high …" The director of the Department of Infection took the opportunity to shift the blame.
The dean was not moved and said, "It's the Department of Infection Control's job to urge the implementation of the nosocomial infection regulations. Let's not talk about this for now. Department Director Huo, how are you doing on your side? "
"We're mainly doing nosocomial infection. I remember that some time ago, he even updated the new nosocomial infection regulations and organized his own staff to carry out nosocomial infection. By the looks of it now, you should be saying that it's not bad. "Huo Congjun grinned and refuted what the department director of the Department of Infection Control had just said.
"Doctor Ling …" The hospital director, who was still holding a celebratory feast just now, thought for a while, nodded, and said, "Then, let's invite Doctor Ling to talk about it. An outbreak of nosocomial infection is a catastrophic event. Now that nosocomial infection has occurred, we need to actively investigate and make up for the shortcomings, but we also need to look at the bright side."
The hospital director asked his secretary to call Ling Ran. He then turned around and said, "Let's first go through the scale and scope of MRSA and discuss a plan to deal with it. Then, I'll report to the higher-ups. What choice do we have now? What choice do we have right now? "
Huo Congjun quietly whipped out his phone and sent a message. He felt a little smug in his heart.
Even though he did not really support Ling Ran's decision to torture nosocomial infections in the beginning, he did not oppose it firmly either. This could be considered as a leader.
.。 m.
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