心胸外科患者术后医院感染的调查及防治措施
发布时间：2018-11-28 14:18
【摘要】：目的调查分析医院心胸外科术后患者医院感染率、感染部位和感染危险因素,为临床防治工作总结有效的相关措施,以降低医院感染率。方法回顾性分析2007年2月-2012年10月心胸外科手术治疗患者1 587例,根据性别、年龄、基础疾病、手术持续时间、侵入性操作和住院时间等相关资料,统计医院感染率、感染部位和感染危险因素,总结有效防治措施,采用全自动微生物鉴定系统VITEK-32对送检标本进行细菌鉴定,采用SPSS13.0软件进行数据统计分析。结果心胸外科手术治疗1 587例患者发生医院感染125例,感染部位依次为上呼吸道49例、下呼吸道47例和胃肠道14例;医院感染病原菌主要为革兰阴性菌占68.0%,其中以铜绿假单胞菌和鲍氏不动杆菌分离率较高,分别占21.6%、19.2%,革兰阳性菌以金黄色葡萄球菌占11.2%,真菌以白色假丝酵母菌占6.4%;医院感染与年龄、基础疾病、手术时间、侵入性操作和住院时间均有相关性(P0.05)。结论应规范诊疗工作,严格落实医院感染的各项管理制度,规范管理流程,避免心胸外科术后医院感染的发生,以确保医疗安全。
[Abstract]:Objective to investigate and analyze the nosocomial infection rate, infection site and infection risk factors of patients after cardiothoracic surgery in hospital, and summarize the effective measures for clinical prevention and treatment to reduce the nosocomial infection rate. Methods from February 2007 to October 2012, 1 587 patients undergoing cardiothoracic surgery were retrospectively analyzed. The nosocomial infection rate was counted according to sex, age, underlying disease, operative duration, invasive operation and hospital stay. The infection site and the risk factors of infection were summarized and the effective prevention and treatment measures were summarized. The bacterial identification was carried out by automatic microorganism identification system (VITEK-32) and the data were analyzed by SPSS13.0 software. Results there were 125 cases of nosocomial infection in 1 587 cases treated by cardiothoracic surgery, 49 cases of upper respiratory tract, 47 cases of lower respiratory tract and 14 cases of gastrointestinal tract. The main pathogens of nosocomial infection were Gram-negative bacteria (68.0%), among which the isolation rates of Pseudomonas aeruginosa and Acinetobacter baumannii were higher, accounting for 21.619.2%, respectively, and Gram-positive bacteria accounted for 11.2% of Staphylococcus aureus. Candida albicans accounted for 6.4% of fungi. Nosocomial infection was correlated with age, basic disease, operative time, invasive operation and hospitalization time (P0.05). Conclusion the diagnosis and treatment work should be standardized, the management system of nosocomial infection should be strictly carried out, the management flow should be standardized, and the nosocomial infection after cardiothoracic surgery should be avoided in order to ensure the safety of medical treatment.
【作者单位】： 武汉市中心医院心胸外科;
【基金】：吴阶平医学部基金会肝病医学部肝病实验诊断研究基金项目(LDWMF-PJ-2011A001)
【分类号】：R181.32
[Abstract]:Objective to investigate and analyze the nosocomial infection rate, infection site and infection risk factors of patients after cardiothoracic surgery in hospital, and summarize the effective measures for clinical prevention and treatment to reduce the nosocomial infection rate. Methods from February 2007 to October 2012, 1 587 patients undergoing cardiothoracic surgery were retrospectively analyzed. The nosocomial infection rate was counted according to sex, age, underlying disease, operative duration, invasive operation and hospital stay. The infection site and the risk factors of infection were summarized and the effective prevention and treatment measures were summarized. The bacterial identification was carried out by automatic microorganism identification system (VITEK-32) and the data were analyzed by SPSS13.0 software. Results there were 125 cases of nosocomial infection in 1 587 cases treated by cardiothoracic surgery, 49 cases of upper respiratory tract, 47 cases of lower respiratory tract and 14 cases of gastrointestinal tract. The main pathogens of nosocomial infection were Gram-negative bacteria (68.0%), among which the isolation rates of Pseudomonas aeruginosa and Acinetobacter baumannii were higher, accounting for 21.619.2%, respectively, and Gram-positive bacteria accounted for 11.2% of Staphylococcus aureus. Candida albicans accounted for 6.4% of fungi. Nosocomial infection was correlated with age, basic disease, operative time, invasive operation and hospitalization time (P0.05). Conclusion the diagnosis and treatment work should be standardized, the management system of nosocomial infection should be strictly carried out, the management flow should be standardized, and the nosocomial infection after cardiothoracic surgery should be avoided in order to ensure the safety of medical treatment.
【作者单位】： 武汉市中心医院心胸外科;
【基金】：吴阶平医学部基金会肝病医学部肝病实验诊断研究基金项目(LDWMF-PJ-2011A001)
【分类号】：R181.32
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1 龙娟;刘宗e，
本文编号：2363099
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