1.Surveillance of imported schistosomiasis in non-endemic areas in Changshu City from 2006 to 2015
Weien ZHOU ; Anhua YIN ; Yongyuan PU
Chinese Journal of Schistosomiasis Control 2016;28(5):598-600
Objective To understand the situation of imported schistosomiasis in non?endemic areas along the Yangtze Riv?er in Changshu City,so as to provide the evidence for formulating and adjusting control measures. Methods The data of Onco?melania hupensis snails and schistosomiasis patients in Changshu City from 2006 to 2015 were collected and analyzed. Re?sults Totally 1 650 residents of Changshu City were tested by serum tests from 2006 to 2015,and 35 cases were positive,with a positive rate of 2.12%. No positive cases were found in etiological tests. No O. hupensis snails were found. Conclusion No im?ported schistosomiasis cases are found in the areas along the Yangtze River in Changshu City,but the infection source is still possible to be imported,and the surveillance work should be strengthened.
2.Treatment of Budd-Chiari syndrome by hepatic vein occlusion and stent replacement
Zhanxin YIN ; Guohong HAN ; Jianhong WANG ; Chuangye HE ; Xiangjie MENG ; Anhua SUN ; Jie DING ; Kaichun WU ; Daiming FAN
Chinese Journal of Digestion 2008;28(3):157-159
Objective To evaluate the effect of hepatic vein occlusion and stent replacement in treatment for Budd-Chiari syndrome(BCS).Methods Forty three patients with BCS were underwent percutanous puncture,radiography,transjugular angioplasty,balloon dilation and stent placement for hepatic vein under Doppller ultrasounographic guidance from July 2001 to September 2006. Results Technical success was 100%with no complications.The medium vein pressure was reduced from 32.5 tO 20 cm H2O(1 cm H2O-0.098 kPa)after stents replacement(P<0.01).The hepatic vein angioplasty revealed that all stents were patent and branches were disappeared.The symptoms in 38 patients were disappeared immediately,and improved in 5 patients.All patients were followed up of 32 months(ranged 1-62).Except one patient died of severe gastric bleeding,the 42 patients were survived with symptoms free.Conclusion Hepatic vein occlusion and stent replacement are safe and effective in treatment of BCS.
3.Multicenter study on epidemiology of device-associated infection in neonatal intensive care units
Junhong REN ; Huan YIN ; Anhua WU ; Bijie HU ; Xiuyue ZHANG ; Tieying HOU ; Zhiyong ZONG ; Weiguang LI ; Huai YANG ; Yun YANG ; Yunxi LIU ; Jianguo WEN ; Qun LU ; Huixue JIA ; Liuyi LI
Chinese Journal of Infection Control 2015;(8):530-534
Objective To investigate the epidemiological characteristics of device-associated infection (DAI)in neonatal intensive care units(NICUs)of tertiary first-class hospitals in China,and provide scientific evidence for the prevention and control of neonatal DAI.Methods Neonates in NICUs at 17 hospitals of 9 provinces from October 2013 to September 2014 were selected for multicenter study,DAI was surveyed prospectively according to the uni-form diagnostic criteria and methods.Results A total of 12 998 neonates were monitored,the total patient-days were 126 125 d,13 cases of central line-associated bloodstream infection (CLABSI)and 70 cases of ventilator-asso-ciated pneumonia (VAP)occurred,central line utilization rate was 15.56%,incidence of CLABSI was 0.66/1 000 device-days;ventilator utilization rate was 7.67%,incidence of VAP was 7.23/1 000 device-days.Utilization rates of central line and respirator in neonates with body weight ≤ 1 000 g was the highest,which were 61 .06% and 29.91 % respectively;In NICUs with 20-30 beds,utilization rate of central line was the highest(16.67%),and res-pirator was the lowest(4.11 %);of hospitals in different regions,central line and respirator utilization rate in south-west China was the highest.Of different sizes of ICUs,VAP per 1 000 device-days was the lowest in NICUs with 20-30 beds(2.36 ‰).Difference in incidence of CLABSI and VAP per 1 000 device-days in neonates at NICUs of different regions were significantly different;incidence of CLABSI and VAP per 1 000 device-days was highest in southern China(2.68 ‰ and 31 .06‰ respectively),followed by southwest region.Of different quarters,incidence of CLABSI,and VAP per 1 000 device-days were not significantly different(all P >0.05).Conclusion Device utili-zation rate and incidence of DAI in China are both high,and are different in neonates of different birth weight,at different sizes of NICUs,as well as different regions,monitoring should be intensified,prevention and control measures should be implemented according to infection characteristics.