Rebirth 90: I opened a hospital in Shencheng

Chapter 577: Another sudden hospital feeling!

This matter is very troublesome.

Physicians and family members of patients disagree.

It's fair to say it's fair.

The mother-in-law said that the mother-in-law is reasonable.

It's not easy to figure out what's really going on.

Several doctors talked about the medical trouble in the office.

"Our nurse was beaten!"

"Doctor Jiang, you'd better go see Lin Xuan and comfort her, it's time for a holiday, it's time to rest!"

Nie Chen said to Jiang Luoyan.

"I know!"

"I'll go talk to Lin Xuan sometime!"

"I can see it too. Several nurses also feel that they are wronged!"

"After all, it seems that I am the only one who is a villain!"

"I really set too high demands on myself. At that time, I wanted to satisfy everyone, but in the end no one was satisfied!"

Jiang Luoyan said with a sigh.

Just as Zhang Fenfang was making a scene with the doctors in the hospital, new troubles appeared in the emergency department.

Nosocomial infection.

Nosocomial infection refers to the infection acquired by inpatients in the hospital, including the infection during the hospitalization and the infection after discharge from the hospital, but excluding the infection that has started before admission or has been in the incubation period at the time of admission.

Infections acquired by hospital staff in hospitals are also nosocomial infections.

It was Wang Jiachao who first discovered the nosocomial infection.

Two patients of Wang Jiachao had the same condition. The patients had fever but no upper respiratory tract infection.

Obviously, there was an infection between them or they were all infected by foreign germs.

Wang Jiachao knew that things were in trouble.

In order to find out whether it was a nosocomial infection, he carefully observed the patient's symptoms.

Fever with no other cause.

Leukopenia.

The patient is an old man over 60 years old and a child with a sudden change of mind for no other reason.

New purulent sputum or changes in sputum properties or increased respiratory secretions require more suction.

New or worsening cough or trouble breathing or shortness of breath.

Crackles or bronchial breath sounds, gas exchange disorders such as decreased oxygen saturation.

Increased oxygen demand, or increased need for mechanical ventilation.

The situation is very serious.

While asking the nurse to report the situation to Jiang Luoyan, he went to the doctor's office to look for Director Yu.

Wang Jiachao knew very well that Director Yu had rich experience, and he should be invited to preside over the overall situation at critical times.

"You suspect nosocomial infection in your ward?"

"Are you sure?"

Director Yu asked.

"I'm not sure, but I'm skeptical, so I want to ask the director to go over and take a look!" Wang Jiachao replied.

He was very conflicted.

He didn't want it to be a nosocomial infection, and he was afraid that Director Yu would reprimand him if it was found out.

"Call Li Xiuzhen, Zhou Xueming, and Liu Yueqian over here and ask!" Director Yu said, "Also Liu Xiaodong and Lin Jianjie, let's see if any of the patients in charge of their beds have a similar situation.

be quick! "

"Okay, I'll call them right away!" Wang Jiachao said.

He quickly called several people, but after ten minutes passed, no one came.

Just when he was anxious, Liu Yueqian, Li Xiuzhen, and Zhou Xueming came over.

"What's the matter with you, didn't I call you to say that Director Yu is looking for you? Why are you here now?" Wang Jiachao complained.

"I know Director Yu is looking for us!"

"At first the three of us wanted to come here together, but suddenly we found three patients with fever and no upper respiratory symptoms, don't you think it's strange?"

"We rushed over after dealing with the patients with fever!"

Zhou Xueming explained.

Liu Yueqian and Li Xiuzhen nodded hastily.

"Why, some of your patients also have fever, suspected to be infected?" Director Yu said, "Take me there to have a look!"

Several people came to the ward to see, and after a few patients, they also suspected nosocomial infection.

"Call Director Jiang, Director Liu, and Dr. Nie Chen over here, and let's hold a meeting to study the current situation!" Director Yu said.

Wang Jiachao called Liu Huimin and Jiang Luoyan, and Liu Yueqian notified Nie Chen.

When Nie Chen arrived at the doctor's office, almost everyone was there.

"I suspect that nosocomial infections have occurred in our department, and it's not like ordinary nosocomial infections!" Director Yu asked Wang Jiachao and Zhou Xueming to introduce the situation and said, "Let's talk about what to do!"

"According to the information provided by everyone, I also suspect that this is not an ordinary nosocomial infection, it may be a super bacteria!" Jiang Luoyan said.

"Nosocomial infection, super bacteria?" Liu Huimin sneered and said, "Don't make fun of me, our emergency department is already chaotic and busy enough!"

Liu Huimin doubted whether it was a nosocomial infection this time, and even less believed the super bacteria that Jiang Luoyan said.

"Concentrated illness in the hospital, how could it not be a nosocomial infection!"

"Now at least five cases have been detected!"

Director Yu said.

"Director Yu, I can't stop watching!" Liu Yueqian said, "I heard that a similar situation has been found in the obstetrics and gynecology department!"

While everyone was discussing, Lin Jianjie and Liu Xiaodong also came over.

"Director Yu, the patient in bed 16 suddenly had a fever and leukocytosis. Do I need antibiotics?"

"Director Yu, I have a patient who has a fever and no upper respiratory symptoms. He also has leukocytosis. I added antibiotics but it didn't work. What should I do?"

The two doctors asked separately.

The current situation is very obvious. Nosocomial infection is certain, but what kind of bacteria is causing it needs to be carefully examined.

"Old Yu, something big is about to happen!" Director Liu said.

"Report it to the hospital!" Director Yu nodded and said, "Everyone, get ready, we are going to get busy again!"

After confirming that it was a nosocomial infection, everyone was very nervous.

Director Yu immediately organized a meeting to discuss countermeasures.

Director Liu said: "Now that so many suspected cases of infection have been found, it can basically be confirmed that it is a nosocomial infection. Everyone already knows the specific situation. Let's talk about which antibiotics should be used to deal with the bacteria or viruses that cause the infection!"

With a lot of facts before her eyes, Liu Huimin had to admit that it was indeed a nosocomial infection.

"I recommend using vancomycin!" Zhou Xueming said.

"No, vancomycin is too toxic to the kidneys. Among our patients, there are three kidney patients and two elderly people. Using this antibiotic will do too much harm to them!" Jiang Luoyan said.

Liu Huimin nodded in agreement.

It took her a lot of effort to save the three patients with kidney disease. This time, they encountered nosocomial infection, which may be more or less auspicious.

"Linezolid has been the most reported recently. I think we can give it a try!" Wang Jiachao said.

"This antibiotic is good, but we can't rule out that the nosocomial infection was caused by Gram-negative bacteria, so there are also defects!" Jiang Luoyan said.

"That's troublesome, not only against Gram-negative bacteria, but also against Gram-positive bacteria!" Zhou Xueming said.

Gram-negative bacteria generally refer to bacteria that are red in the Gram stain reaction.

With this test we can distinguish between two types of bacteria with different cell wall structures.

Gram-positive bacteria will show the color of gentian violet in the decolorization solution after the reaction.

These two bacteria cover almost all bacterial species.

Director Yu didn't speak while listening to the debate among the several people. Instead, he focused his attention on Nie Chen, expecting him to come up with a reasonable solution.

"When we don't know what bacteria or virus is causing the disease, we can only choose the highest-grade antibiotics based on experience. There is indeed a certain degree of blindness before the conclusion of bacterial immunology comes out!"

"As far as our nosocomial infection is concerned, I think we can divide two groups of people into different objects and choose different antibiotics. The elderly, children and three patients with kidney disease can choose antibiotics with less nephrotoxicity, and others can choose another type or type of antibiotics. Combination of antibiotics!"

Nie Chen said.

(End of this chapter)