老年骨科住院患者医院感染临床分析及预防对策

发布时间：2018-05-13 02:10

本文选题：老年住院患者 + 骨科　；参考：《中华医院感染学杂志》2014年09期

【摘要】：目的探讨老年骨科住院患者医院感染的发生特点,提出预防对策及控制措施,以有效预防及控制医院感染的发生。方法对2010-2011年1 157例老年住院骨科患者并发医院感染的临床资料进行回顾性分析,采用Excel进行数据录入和SPSS16.0软件进行统计分析,计数资料用率表示,采用χ2检验。结果 1 157例住院患者中发生医院感染127例、131例次,医院感染率10.98%、例次感染率11.32%,2011年感染率较2010年显著下降,差异有统计学意义(P0.05);感染部位以下呼吸道、泌尿道、牵引眼为主,分别占70.99%、12.98%、12.21%;共分离出病原菌146株,其中革兰阴性菌100株占68.49%,以肺炎克雷伯菌、鲍氏不动杆菌为主,分别占21.92%和14.38%;革兰阳性菌31株占21.23%,以金黄色葡萄球菌和溶血性链球菌为主,分别占8.90%和4.79%;真菌15株,占10.28%,以白色假丝酵母菌为主,占9.59%。结论老年骨科住院患者医院感染率较高,医务人员应引起高度重视,强化业务培训及相关知识的学习,采取有针对性的医院感染防范措施,以降低医院感染的发生。
[Abstract]:Objective to explore the characteristics of nosocomial infection in geriatric orthopaedic patients, and to put forward preventive measures and control measures to prevent and control nosocomial infection effectively. Methods the clinical data of 1 157 senile orthopedic patients complicated with nosocomial infection from 2010 to 2011 were analyzed retrospectively. The data input and SPSS16.0 software were used for statistical analysis with Excel. The data consumption rate was expressed by 蠂 2 test. Results among the 1 157 inpatients, 127 cases had nosocomial infection (131 times), the nosocomial infection rate was 10.98, and the infection rate was 11.320.The infection rate in 2011 was significantly lower than that in 2010, and the difference was statistically significant (P 0.05). 146 strains of pathogenic bacteria were isolated, of which 100 strains were Gram-negative bacteria (68.49), mainly Klebsiella pneumoniae, Acinetobacter baumannii (21.92%) and Acinetobacter baumannii (14.38%), while 31 strains of Gram-positive bacteria accounted for 21.23%, mainly Staphylococcus aureus and Streptococcus haemolyticus. 15 strains of fungi (10.28%) were mainly Candida albicans (9.59%). Conclusion the nosocomial infection rate of inpatients in orthopedic department of the elderly is relatively high. The medical staff should attach great importance to it, strengthen the professional training and the study of related knowledge, and take targeted measures to prevent nosocomial infection in order to reduce the incidence of nosocomial infection.
【作者单位】：天津市天津医院护理部;
【基金】：天津市卫生局基金资助项目(2011KY27)
【分类号】：R181.32

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