急诊科重症患者医院感染的危险因素与预防

发布时间：2018-03-13 01:35

本文选题：急诊科　切入点：重症患者　出处：《中华医院感染学杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的探讨导致急诊科重症患者发生医院感染的危险因素,并根据危险因素提出有效的预防措施。方法选择医院2012年1月-2014年12月急诊科收治的800例重症患者,分析所有患者的临床资料,包括:患者感染部位、住院时间、基础疾病、侵入性操作等,并进行多因素logistic回归分析,数据采用SPSS 19.0软件进行统计分析。结果共114例患者发生医院感染,感染率为14.25%,以呼吸道感染为主占47.37%;对患者的资料进行多因素logistic回归分析显示,年龄≥60岁、住院时间1周、有侵入性操作、抗菌药物广泛使用、病变部位较多及患有基础疾病为发生医院感染的独立危险因素(P0.05)。结论为预防感染的发生,应减少对患者的侵入性操作,控制基础疾病,诊治过程中严格执行无菌理念,合理使用抗菌药物,做好病房环境的消毒工作等。
[Abstract]:Objective to explore the risk factors leading to nosocomial infection in critical patients in emergency department, and to put forward effective preventive measures according to the risk factors. The clinical data of all patients were analyzed, including infection site, length of stay, basic disease, invasive operation, and multivariate logistic regression analysis. The data were analyzed by SPSS 19.0 software. Results there were 114 patients with nosocomial infection, the infection rate was 14.25 and respiratory tract infection accounted for 47.37.The multivariate logistic regression analysis showed that the age of patients was more than 60 years old and the hospital stay was 1 week. Invasive operation, extensive use of antimicrobial agents, more lesions and basic diseases are the independent risk factors for nosocomial infection. Conclusion in order to prevent infection, invasive operation should be reduced and underlying diseases should be controlled. In the course of diagnosis and treatment, we strictly carry out the idea of asepsis, use antibiotics rationally, and do well the disinfection of ward environment.
【作者单位】：滨州市人民医院急诊科;
【基金】：山东省医药卫生科技发展计划基金资助项目(2014WS0195)
【分类号】：R459.7;R197.323

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