骨科手术患者医院感染的调查分析

发布时间：2018-05-26 13:22

本文选题：骨科手术 + 住院患者　；参考：《中华医院感染学杂志》2014年08期

【摘要】：目的了解骨科手术患者医院感染情况,加强骨科手术患者医院感染的预防与控制,为医院感染监测工作提供数据支持,降低医院感染发生率。方法回顾性调查2008-2012年医院收治住院患者共69 760例,进行医院感染率、感染部位分布及病原菌的分离进行分析,采用SPSS 19.0统计软件包进行数据分析。结果 69 760例住院患者中骨科手术患者57 215例,占82.02%,发生医院感染1 576例,感染率2.75%,高于住院患者感染率的2.48%(P0.001);感染1 675例次,例次感染率2.93%;感染部位前3位依次是手术切口感染882例次占52.65%、呼吸道感染513例次占30.62%、泌尿道感染211例次占12.59%;检出各类病原菌1 529株,以革兰阴性菌为主占58.86%,前5位分别为鲍氏不动杆菌263株占17.20%、肠球菌属200株占13.08%、金黄色葡萄球菌185株占12.10%、大肠埃希菌159株占10.40%、肺炎克雷伯153株占10.00%。结论骨科手术患者的医院感染率明显高于其他住院患者,应加强骨科手术患者医院感染的预防与控制工作,降低医院感染发生率。
[Abstract]:Objective to understand the nosocomial infection in orthopedic patients, strengthen the prevention and control of nosocomial infection in orthopedic patients, provide data support for nosocomial infection surveillance and reduce the nosocomial infection rate. Methods A retrospective study was conducted on 69 760 hospitalized patients from 2008 to 2012. The nosocomial infection rate, distribution of infection sites and isolation of pathogenic bacteria were analyzed. The data were analyzed by SPSS 19.0 statistical software package. Results among 69 760 inpatients, 57 215 cases (82.02%) underwent orthopedic surgery, 1 576 cases of nosocomial infection occurred, the infection rate was 2.75, which was higher than that of the inpatients (2.48% P 0.001), and 1 675 cases were infected. The first three sites of infection were operative incision infection (882 times), respiratory tract infection (50.62%), urinary tract infection (211 cases) and urinary tract infection (12.59 cases). The first five were Acinetobacter baumannii, Enterococcus, Staphylococcus aureus, Staphylococcus aureus, Escherichia coli, Escherichia coli, and Klebsiella pneumoniae, respectively, accounting for 58.86, 17.20, 13.08, 12.10, 10.40 and 10.00, respectively. Conclusion the nosocomial infection rate of orthopedic patients is significantly higher than that of other inpatients. The prevention and control of nosocomial infection in orthopedic patients should be strengthened to reduce the incidence of nosocomial infection.
【作者单位】：天津医院病案科;
【基金】：天津市卫生局科技基金资助项目(2012KZ054)
【分类号】：R181.32

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