1.The Effect of ~60Co?-ray on Antibody-secreting Cell and Its Dose-response Relation
Chuansong CHEN ; Yachun LI ; Jianren XU
Academic Journal of Second Military Medical University 1985;0(06):-
The mice B lymphocyte hybridoma cells were irradiated by 60Co?-rays with doses of 1, 2, 4, 6. 8Gy. A markedly dose-relation depression in cell survival rate, cell concentration and clone-forming rate was observed. D37 value of clone-forming rate was 8.26 Gy. Dose-relation depression was also observed in total production of monoclonal antibody of clones. But production of monoclonal antibody per clone was raised with radiation doses. These results indicate that ionization radiation depresses the survival activity of hybridoma cells, but stimulates the secretion of monoclonal antibody of survival cells.
2.Strengthening Management of Reasonable Application of Antibacterial Drug
Wenguang CHEN ; Jinghua JIANG ; Zebao ZHANG ; Ying TAO ; Yachun GUO
Chinese Journal of Nosocomiology 1994;0(04):-
OBJECTIVE To achieve the best treatment effect by the effective management to control abusing the clinical antibacterial drug. METHODS The management organization and system on antibiotics reasonable application were established.It also formulated an standard to examine the reasonable antibiotics application.It construced the information system of the antibiotics reasonable application management,to carry on the real-time monitoring to the clinical antibiotics application situation. RESULTS The antibiotics utilization ratio was from original 78% lowered to 65% and the antibiotics use hastened more reasonably. CONCLUSIONS The standardized management of antibiotics use is realized and the medical quality is improved.
3.Risk Factors for Clean Wound Infection
Yachun GUO ; Wenguang CHEN ; Zebao ZHANG ; Ying TAO ; Jinghua JIANG
Chinese Journal of Nosocomiology 1994;0(04):-
OBJECTIVE To explore risk factors and preventive measure of wound infection after operations in clean wounds.METHODS The related factors of wound infection were analyzed by using Logistic analysis in 6805 cases from Jun 2004 to Dec 2005.RESULTS Age,duration of operation and diabetes mellitus were the risk factors for wound infection,but the antibiotic application was unrelated to wound infection in clean wounds.CONCLUSIONS The risk factors for wound infection are age,duration of operation and diabetes mellitus.
4.Associated Factors of Nosocomial Infection:Investigation and Study
Ying TAO ; Wenguang CHEN ; Zebao ZHANG ; Yachun GUO ; Jinghua JIANG
Chinese Journal of Nosocomiology 2006;0(05):-
OBJECTIVE To explore associated factors of nosocomial infection and provide ways for control nosocomial infection.METHODS The associated factors of nosocomial infection were analyzed by using retrospective analysis in 29 842 cases from Jan 2004 to Dec 2005.RESULTS Among 29 842 cases,1917 cases were infected,the incidence was 6.4%.CONCLUSIONS The associated factors of nosocomial infection are age,the underlying diseases,the decrease in immunological function and the invasive manipulation.
5.Neurosurgical Hospital Infection Characteristics and Bacterial Resistance Condition
Jinghua JIANG ; Wenguang CHEN ; Zebao ZHANG ; Yin TAO ; Yachun GUO
Chinese Journal of Nosocomiology 2006;0(07):-
OBJECTIVE To undersand neurosurgical hospital infection characteristics and bacterial resistance,and to provide reference information for the rational use of antibacterial drugs in clinics.METHODS Using the combined methods of initiative monitoring and recalling system to carry on the clinical informations' statistics,the analysis and the judgment for the 880 inpatients in the neurosurgery department in 2005.RESULTS The rate of neurosurgical hospital infection was 16.36%,significantly higher than the hospital average rate(9.18%) at the same period.Neurosurgical hospital infection pathogens were mainly Gram-negative bacteria.Infection sites occurred mainly in urinary tract(44.44%),followed by lower respiratory tract(35.42%).Sixty strains were Escherichia coli(20.2%),34 strains(11.44%) for Enterococcus faecium(D group),25 strains(8.42%) for Acinetobacter baumannii,25 strains(8.42%) for Pseudomonas aeruginosa,and 18 strains(6.06%) for Klebsiella pneumoniae.CONCLUSIONS Systematic monitoring of neurosurgical hospital infection characteristics and dynamics of bacterial resistance has important clinical reference significance to the rational use of antibacterial drugs.
6.Hospital Infection among Tumor Patients:Analysis and Prevention
Jinghua JIANG ; Wenguang CHEN ; Zebao ZHANG ; Yin TAO ; Yachun GUO
Chinese Journal of Nosocomiology 2005;0(11):-
OBJECTIVE To understand the characteristic of hospital infection among tumor patients and give information to reduce the tumor patients with hospital infection.METHODS Using the methods of initiative monitoring and the system review to carry on the statistics,analysis,and evaluation for the total of 2679 tumor patients occurred in Department of Oncology in Shaoxing People′s Hospital in 2005.RESULTS Among them there were 120 cases occurred hospital infection.The rate of hospital infection was 4.47%.The patients who infected one time were 179 cases,two times were 31 cases,and over three times were 10 cases.The main infected sites were respiratory tract including upper respiratory tract(38 cases) and lower respiratory tract(36 cases),followed by alimentary tract(10 cases),blood(9 cases),surgical incision infection(8 cases),urinary tract(6 cases) and the other locations(13 cases).CONCLUSIONS The main prevention and control measures of hospital infection among tumor patients are to improve the body immunity and control endogenous infections.
7.The status investigation and analysis of indwelling central venous catheter infection with internal jugular vein
Changrong CHEN ; Jizhong LIU ; Yachun CHEN ; Yaqiong LIU ; Chunping CHEN ; Xiao LUO ; Xilan ZHAO ; Shu RAO
Chongqing Medicine 2016;45(16):2239-2241
Objective To explore the related infection factors of the internal jugular vein indwelling central venous catheter , and make prevention countermeasures according to the infection factors of central venous catheter infections .Methods A total of 564 patients admitted in liver and gallbladder surgical ward with external jugular vein indwelling central venous catheter were se‐lected ,extract the relevant hospital infection data in patients by the XingLin hospital infection real‐time monitoring system ,and SPSS15 .0 statistical analysis was conducted .Results The infection rate of 564 cases of patients was 4 .07% .The rate of gram‐neg‐ative bacteria infection was 43 .5% ,the gram positive bacteria infection accounted for 34 .8% ,fungi accounted for 21 .7% ,including multiple drug‐resistant bacteria infection accounted for 52 .1% .Catheter indwelling 14 d or more infection rate was 8 .5% ,14 d fol‐lowing infection rate was 2 .1% ,and infected patients for more advanced cancer and patients with severe acute pancreatitis .Pipe joint respectively with heparin cap and needle positive pressure infusion joint connections ,infection rate was statistically different (P<0 .05) .Conclusion The infection of internal jugular vein indwelling central venous catheter should not be ignored ,and the oc‐currence of catheter‐related infection of patients is closely related to state of an illness ,the time of catheter insertion ,and the joint device and so on .
8.Resistance of Pseudomonas aeruginosa in ICU
Jinghua JIANG ; Wenguang CHEN ; Zebao ZHANG ; Ying TAO ; Yachun GUO ; Zongxin WANG
Chinese Journal of Nosocomiology 1994;0(01):-
OBJECTIVE To understand the antibiotic resistance of Pseudemonas aeruginosa isolated from ICU and give advices to clinicians.METHODS The antibiotic susceptibility of P.aeruginosa isolated from ICU to 12 kinds of antibiotics were tested by disc diffusion method.RESULTS The antibiotic susceptibility of 472 P.aeruginosa strains to imipenem,piperacillin/sulbactam,piperacillin,amikacin,ceftazidime,tobramycin,cefepime,ciprofloxacin,ceftriaxone,gentimicin,aztreonam and cefotaxime were 82.2%,74.94%,69.92%,64.87%,59.95%,52.93%,49.88%,49.65%,44.50%,41.92%,38.17%,and 35.60%,respectively.CONCLUSIONS P.aeruginosa isolated from ICU of our hospital is suscepitable to imipenem,piperacillin/sulbactam,piperacillin,amikacin and the cephalosporins,but show lower susceptibility to other antibiotics.
9.To Set Up and Apply Hospital Monitoring Platform for Infectious Disease
Guorong ZHANG ; Wenguang CHEN ; Chulei ZHONG ; Xiaoqin YAN ; Jinghua JIANG ; Zebao ZHANG ; Ying TAO ; Yachun GUO
Chinese Journal of Nosocomiology 2006;0(03):-
OBJECTIVE To set up the infectious disease monitoring platform upon the hospital information system(HIS).In order to study the infectious disease′s early discovery,early reporting,early therapy and early control,to improve the hospital′s capability of prevention and cure of the infectious disease,generally improving the medical treatment quality.METHODS The computer technic was used to auto-collect,save,process the patient′s information.RESULTS To realize the information be shared;play a role in real time effective monitor;to provide the basic information of medical treatment,scientific research,education and management.CONCLUSIONS Realizing the scientific,standardized,systematized management of hospital infectious disease is becoming an important part in the whole HIS as the hospital medical treatment control system.
10.Nosocomial Infection in Patients with Cerebral Infarction: A Case-control Study of Its Economic Losses
Jinghua JIANG ; Wenguang CHEN ; Zebao ZHANG ; Ying TAO ; Yachun GUO ; Lina HE
Chinese Journal of Nosocomiology 2006;0(03):-
OBJECTIVE To evaluate the direct economic losses caused by nosocomial infection(NI) in patients with cerebral infarction.METHODS All patients(79 with NI as case group,300 without NI as control group) in pairs were investigated through case-control study retrospectively.RESULTS The average of expenses on medical service in NI group was higher when compared to that of control,the increased medical charge was 3 873.56 yuan and the increased hospitalized charge was 6 254.92 yuan.The average bed-staytime of NI group exceeded that of control by 11 days,there was a significant difference between two groups(P