Nursing care of a patient with enterococcus faecalis infection after living relative small bowel transplantation
10.3760/cma.j.cn211501-20200122-00235
- VernacularTitle:一例亲属活体小肠移植术后并发屎肠球菌感染患者的护理
- Author:
Yan WANG
1
;
Fangyan LU
Author Information
1. 浙江大学医学院附属第一医院肝胆胰外科及肝移植中心，杭州 310003
- From:
Chinese Journal of Practical Nursing
2020;36(23):1819-1822
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing points of a patient with enterococcus faecalis infection after living relative small bowel transplantation.Methods:To strengthen the observation and nursing of transplanted enterostomy, to guard against acute rejection. To closely monitor the signs of infection and effectively prevent and control infection.Make reasonable nutrition plan to promote the recovery of transplanted intestinal function. Prophylactic rejection with a combined immunosuppressive regimen. Implement individual psychological intervention to alleviate patients′ bad mood; Electronic follow-up records were established to dynamically monitor the changes of the condition after discharge.Results:The postoperative enterostomy was rosy, the intestinal function recovered well, and there was no rejection reaction. Enterococcus faecalis positive in ascites culture, infection signs were controlled after early detection, active treatment and nursing. Gradually return to normal eating through the mouth, walking rehabilitation discharge. The patient was followed up for 6 months and is now in good condition.Conclusion:For this patient, enhanced observation and nursing care, close monitoring of infection signs, reasonable nutrition plan and combined use of immunosuppression program are effective means to ensure the success of the operation and the safety of postoperative patients.
