某医院连续3年住院手术患者医院感染现患率调查

发布时间：2018-05-24 10:12

本文选题：手术患者 + 医院感染　；参考：《中国消毒学杂志》2014年08期

【摘要】：目的了解住院手术患者医院感染现状及相关危险因素,为制定医院感染预防控制措施提供依据。方法采用回顾性调查方法,对某医院外科2010-2012年连续3年手术患者医院感染现患率调查结果进行分析,找出危险因素,提出防控措施。结果该医院外科2010-2012年度,手术患者医院感染现患率依次分别为6.84%、5.85%和5.29%。感染率最高的科室是重症监护病房和脑外科,感染高发部位是呼吸道和泌尿道。感染病原菌中优势菌群构成比居前三位是大肠埃希菌、肺炎克雷伯菌和金黄色葡萄球菌。引起手术患者感染的主要危险因素是手术持续时间、切口类型、各种插管留置、高龄患者及基础病等。结论该医院外科手术患者医院感染现患率较高,应重点改善手术条件和实施无菌操作,加强抗菌药物应用管理。
[Abstract]:Objective to investigate the present situation of nosocomial infection and related risk factors in hospitalized patients, and to provide evidence for the prevention and control of nosocomial infection. Methods A retrospective investigation was conducted to analyze the prevalence of nosocomial infection among surgical patients in a hospital for 3 consecutive years from 2010 to 2012, to find out the risk factors and to put forward preventive and control measures. Results the prevalence of nosocomial infection in surgical patients was 6.84% and 5.29% in 2010-2012 respectively. The departments with the highest infection rates are intensive care units and brain surgery, and the high incidence of infection is in the respiratory tract and urinary tract. The dominant bacteria were Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus. The main risk factors for infection in surgical patients are duration of operation, type of incision, indwelling of various intubation, elderly patients and underlying diseases. Conclusion the present rate of nosocomial infection in surgical patients in this hospital is high. It is necessary to improve the operation conditions and implement aseptic operation and strengthen the management of antimicrobial application.
【作者单位】：宁夏回族自治区第五人民医院;
【分类号】：R181.3

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