Prevention and control of nosocomial infection in children with autumn diarrhea
Rotavirus diarrhea is the most common form of viral gastroenteritis. Rotavirus is one of the main pathogens that cause diarrhea in infants and young children. It mainly infects small intestinal epithelial cells, causing cell damage and diarrhea. Rotavirus is prevalent in autumn and winter every year, so it is also called autumn diarrhea. For example, children in the pediatric ward who have been infected with rotavirus are likely to cause outbreaks. The course of infection is usually 7 days, fever lasts for 3 days, vomiting for 2-3 days, diarrhea for 5 days, severe dehydration symptoms.
1、 Popular features
1. Source of infection: patients and asymptomatic patients are the main source of infection. Contaminated household and medical supplies.
2. Transmission route: mainly through human transmission, mainly through feces mouth or mouth mouth, or through water pollution or respiratory tract, or through life contact.
3. susceptible population: Rotavirus mainly violates infants under 5 years old, with the highest incidence rate at 9~12 months.
2、 Clinical manifestations
The incubation period is 1-3 days. The symptoms of children aged 6-24 months were severe, while the older children or adults were mild or subclinical infection. Acute onset, vomiting followed by diarrhea, accompanied by mild to moderate fever. Diarrhea varies from ten to dozens of times a day. Most of the stools are watery or yellow green, often accompanied by mild or moderate dehydration and metabolic poisoning. Some cases often have upper respiratory tract infection before gastrointestinal symptoms. The disease is a self limited disease with a course of about one week.
3、 Key points of infection prevention and control
1) Restrict children's activities.
2) The children who have been exposed to the source of infection will be concentrated in a ward, the occurrence of diarrhea will be closely observed, and they will be sent for stool culture in time; the recovered children will be concentrated in a ward, and they can be discharged after 3 times of negative stool culture.
3) Wear suitable protective equipment.
1) Hand hygiene: hand hygiene should be carried out strictly.
2) Ward disinfection: wet cleaning shall be carried out. The ward environment and air shall be disinfected every day, especially in the toilet. The final disinfection shall be carried out after the children leave the hospital.