产妇医院感染的相关因素与预防研究

发布时间：2018-11-11 15:36

【摘要】：目的探讨产妇医院感染的临床特征以及危险因素,并总结预防对策,降低感染率。方法回顾性分析2010年4月-2013年8月产科734例产妇的临床资料,调查发生医院感染的相关因素,根据影响因素提出对应的护理对策。结果 734例产妇发生医院感染79例、92例次,感染率10.76%、例次感染率12.53%;以下呼吸道与泌尿生殖感染为主,分别占45.65%、28.26%;瘢痕子宫、胎膜早破、年龄大、住院时间长、使用多种抗菌药物、侵入性诊疗操作等是产科医院感染的高危因素。结论产妇多数免疫力低下、感染的危险因素较多,容易发生医院感染,加强对医护人员的培训及医院的感染监控以及管理力度,采取全方位的干预措施可以有效地预防产妇的感染。
[Abstract]:Objective to investigate the clinical characteristics and risk factors of nosocomial infection in parturient women, and summarize the preventive measures to reduce the infection rate. Methods the clinical data of 734 pregnant women in obstetrics from April 2010 to August 2013 were analyzed retrospectively. The related factors of nosocomial infection were investigated and the corresponding nursing countermeasures were put forward according to the influencing factors. Results there were 79 cases of nosocomial infection and 92 cases of nosocomial infection in 734 cases. The infection rate was 10.766.The infection rate was 12.53.The respiratory tract and urogenital infection were mainly caused by the infection of respiratory tract and urogenital tract, which accounted for 45.65% 28.26%, respectively. Cicatricial uterus, premature rupture of membranes, age, long hospital stay, use of various antibiotics, invasive diagnosis and treatment are the high risk factors of obstetric nosocomial infection. Conclusion the majority of maternal immunity is low, the risk factors of infection are many, the hospital infection is easy to occur, the training of medical staff and the monitoring and management of hospital infection should be strengthened. Taking all-round intervention measures can effectively prevent the infection of puerpera.
【作者单位】：天津市大港油田总医院妇产科;
【基金】：天津市科技局基金资助项目(2013-7-851)
【分类号】：R181.32

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