前馈控制对妇产科患者手术部位感染的影响

发布时间：2018-04-02 10:36

本文选题：前馈控制　切入点：妇产科患者　出处：《中华医院感染学杂志》2017年17期

【摘要】：目的探究前馈控制对妇产科患者手术部位感染的影响。方法选取医院2015年3月-2016年3月(前馈控制实施后)收治的行子宫切除术患者70例为研究组,对患者行前馈控制,另选2014年3月-2015年3月(前馈控制实施前)62例行子宫切除患者为对照组;对所有患者医院感染分布、手术部位感染情况、抗菌药物使用情况以及病原微生物标本的送检情况、手术中抗菌药物追加使用情况、病原菌检出情况进行分析。结果所有患者发生医院感染共13例,医院感染以手术部位感染为主,占76.92%,其他部位感染较少,差异有统计学意义(P0.05);研究组手术部位感染率为4.29%低于对照组11.29%,差异有统计学意义(P0.05);研究组抗菌药物使用率和病原微生物标本送检率分别为(54.29%、64.29%)与对照组(85.48%、32.26%)比较,差异有统计学意义(P0.05);研究组抗菌药物追加使用率为36.00%,明显低于对照组71.43%,差异有统计学意义(P0.05);10例手术部位感染患者的临床标本共检出7株病原菌,其中粪肠球菌3株占42.86%;大肠埃希菌2株占28.57%;金黄色葡萄球菌1株占14.29%;肺炎克雷伯菌1株占14.29%。结论前馈控制对妇产科患者手术部位感染能够发挥很好的控制作用,可有效降低妇产科患者手术部位感染率。
[Abstract]:Objective to investigate the effect of feedforward control on surgical site infection in patients with gynecology and obstetrics.Methods 70 patients treated with hysterectomy from March 2015 to March 2016 (after feedforward control) were selected as the study group, and the patients were treated with feedforward control.In addition, from March 2014 to March 2015, 62 patients with hysterectomy were selected as the control group. The distribution of nosocomial infection, the infection of surgical site, the use of antimicrobial agents and the examination of pathogenic microorganism samples were collected from all patients.The usage of antimicrobial agents and the detection of pathogenic bacteria were analyzed.Results there were 13 cases of nosocomial infection in all patients. The nosocomial infection was mainly caused by surgical site infection (76.92%).The infection rate of the operative site in the study group was 4.29% lower than that in the control group (11.29%), the difference was statistically significant (P 0.05); the utilization rate of antimicrobial agents in the study group was 54.29% and the examination rate of the pathogenic microorganism specimen was 64.29%, respectively) compared with that in the control group (85.48% 32.26).There was a significant difference between the two groups (P 0.05), and the additional utilization rate of antimicrobial agents in the study group was 36.00, which was significantly lower than that in the control group (71.43). The difference was statistically significant (P 0.05).Among them, 3 strains of Enterococcus faecalis accounted for 42.86%, 2 strains of Escherichia coli accounted for 28.57%, 1 strain of Staphylococcus aureus accounted for 14.29%, and 1 strain of Klebsiella pneumoniae accounted for 14.29%.Conclusion Feedforward control can play a good role in controlling surgical site infection in patients with gynecology and obstetrics, and can effectively reduce the infection rate of surgical sites in patients with gynecology and obstetrics.
【作者单位】：海南西部中心医院手术室;海南西部中心医院妇产科;
【基金】：海南省医学科研基金资助项目(琼卫科教2013-6)
【分类号】：R197.323;R71

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