感控专职小组对妇产科患者手术部位感染的影响

发布时间：2018-12-21 16:56

【摘要】：目的探讨感控专职小组对妇产科患者手术部位感染的影响。方法将2014年7月-2015年12月为感控专职小组实施阶段,医院妇产科共收治4568例手术患者为干预组,2013年1月-2014年6月为感控专职小组未实施阶段,医院妇产科共收治3982例手术患者为对照组,统计两组发生医院感染情况,并对发生医院感染患者分别取样进行菌株鉴定,感控专职小组实施前后,对比分析消毒隔离质量和医院感染管理质量。结果干预组4568例手术患者共发生手术部位感染46例,感染率为1.01%,对照组3982例手术患者共发生手术部位感染154例,感染率为3.87%,干预组患者手术部位感染率显著低于对照组,差异有统计学意义(P0.05);对照组感染患者共检出176株病原菌,其中革兰阴性菌114株占64.77%,革兰阳性菌36株占20.45%,真菌26株占14.77%,干预组感染患者共检出62株病原菌,其中革兰阴性菌42株占67.74%,革兰阳性菌12株占19.35%,真菌8株占12.90%;干预组医务人员管理、工作环境管理、医疗器械及用品管理和消毒隔离总质量月平均问题数显著降低,月平均分数显著上升,差异有统计学意义(P0.05);医护人员手卫生依从性、手卫生知识知晓、医院感染知识知晓、环境卫生抽查监测、抗菌药物合理使用和无菌操作合格率均显著提高,差异有统计学意义(P0.05)。结论感控专职小组有助于提高消毒隔离质量和医院感染管理质量,从而降低妇产科手术部位感染率。
[Abstract]:Objective to investigate the effect of sensory control group on surgical site infection in patients with gynecology and obstetrics. Methods from July 2014 to December 2015, a total of 4568 surgical patients were treated as intervention group, and from January 2013 to June 2014, 4568 patients were treated as intervention group, and the whole group was not implemented from January 2013 to June 2014. A total of 3982 surgical patients were admitted to the hospital as the control group. The nosocomial infection in the two groups was counted, and the strains of the nosocomial infection patients were sampled and identified before and after the implementation of the full-time group. The quality of disinfection isolation and nosocomial infection management were compared and analyzed. Results there were 46 cases of surgical site infection in 4568 patients in the intervention group and 3982 cases in the control group. The infection rate was 3.87%. The infection rate of surgical site in the intervention group was significantly lower than that in the control group (P0.05). In the control group, 176 strains of pathogenic bacteria were detected, of which 114 were Gram-negative bacteria (64.77g), 36 Gram-positive bacteria (20.45m), 26 fungi (14.77cm), and 62 pathogenic bacteria were detected in the intervention group. Among them, 42 strains of Gram-negative bacteria accounted for 67.74%, 12 strains of Gram-positive bacteria accounted for 19.35%, and 8 strains of fungi accounted for 12.90%. In the intervention group, the number of medical staff management, the working environment management, the management of medical devices and supplies and the total quality of disinfection and isolation decreased significantly, and the monthly average score increased significantly (P0.05). The compliance of hand hygiene, knowledge of nosocomial infection, monitoring of environmental hygiene, rational use of antimicrobial agents and aseptic operation were significantly improved (P0.05). Conclusion the full-time group is helpful to improve the quality of disinfection isolation and hospital infection management and to reduce the infection rate of gynecology and obstetrics operation.
【作者单位】：海南现代妇女儿童医院妇产科;海南省琼海市人民医院妇产科;
【分类号】：R473.71

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