To summarize the perioperative nursing experience of coronary artery bypass grafting in a patient with scabies infection. In view of the problems of surgical treatment in the infection period of scabies infection,lack of protection experience of medical staff,common susceptibility of the severe patient,and difficulty of infection prevention and control,a multidisciplinary prevention and control team and a special nursing team were established to improve the ability of scabies prevention and control. We strictly controlled the three links of scabies infection to prevent the occurrence of nosocomial infection,took good measures of scabies medication and skin management. After 17 days of active treatment and careful care,the patient‘s symptoms and signs improved,local spatula eggs were negative,and no nosocomial infection occurred. After the isolation was released,the patient was transferred to the general ward for further treatment,and was discharged successfully on the 28th day after surgery.
SUN Xiumei
,
SHEN Yanling
. Perioperative nursing care of a patient with scabies infection undergoing coronary artery bypass grafting[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(7)
: 642
-645
.
DOI: 10.3761/j.issn.2096-7446.2024.07.012
[1] Executive Committee of Guideline for the Diagnosis and Treat-ment of Scabies. Guideline for the diagnosis and treatment of scabies in Japan(third edition)[J]. J Dermatol,2017,44(9):991-1014.
[2] Dickson VV,Iovino P,de Maria M,et al. Psychometric testing of the self-care of coronary heart disease inventory version 3.0[J]. J Cardiovasc Nurs,2022:e131-e140.
[3] Sunderkötter C,Wohlrab J,Hamm H.Scabies:epidemiology,diagnosis,and treatment[J]. Dtsch Arztebl Int,2021,118(41):695-704.
[4] 徐凌艳,李雪,田慧鑫. 某综合医院重症监护室疥疮感染疑似暴发调查及防控[J]. 中国卫生标准管理,2023,14(16):138-143.
Xu LY,Li X,Tian HX.Investigation and intervention of suspected scabies outbreaks in intensive care units of A general hospital[J]. China Health Stand Manag,2023,14(16):138-143.
[5] Richards RN.Scabies:diagnostic and therapeutic update[J]. J Cutan Med Surg,2021,25(1):95-101.
[6] 俞芳,周玉萍,丁淑怡,等. 造血干细胞移植术后合并皮肤排异及结痂型疥疮感染患者护理1例[J]. 加速康复外科杂志,2023(2):92-96.
Yu F,Zhou YP,Ding SY,et al.Nursing care of a patient with skin rejection and Norwegian scabies infection after hematopoietic stem cell transplantation[J]. J Enhanc Recovery Surg,2023(2):92-96.
[7] Qian G,Hou LG,Guo W.A fussy infant with a generalized papulovesicular rash[J]. JAMA,2019,321(6):604.
[8] 曾鲜艳,刘满英,黄超红. 21例肿瘤并发疥疮患者的临床特征与护理对策[J]. 海南医学,2018,29(17):2507-2509.
Zeng XY,Liu MY,Huang CH.Clinical characteristics and nursing countermeasures of 21 patients with tumors complicating scabies[J]. Hainan Med J,2018,29(17):2507-2509.
