麻醉科医院感染的调查与预防措施研究

发布时间：2018-02-04 11:43

本文关键词： 麻醉科医院感染临床特点预防控制措施　出处：《中华医院感染学杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨麻醉科发生医院感染的临床特点及预防控制对策,为早期预防和控制麻醉科医院感染提供科学依据。方法对2012年12月-2014年3月行麻醉手术的1 259例患者发生医院感染临床资料进行回顾性分析,探讨麻醉科医院感染的临床特点及危险因素,并总结预防控制措施。结果 1 259例行麻醉手术患者发生医院感染72例,感染率为5.72%;其感染率最高的疾病为恶性肿瘤29例占40.28%,其次为消化系统疾病22例占30.56%、循环系统疾病15例占20.83%;医院感染部位主要为呼吸道感染25例占34.72%、手术部位感染19例占26.39%、泌尿道感染11例占15.27%;年龄、合并基础疾病、存在意识障碍、有侵入性操作、预防性应用抗菌药物、手术切口分类、手术时机、手术时间与医院感染相关。结论针对麻醉科医院感染的危险因素,采取综合性的干预措施,可有效预防和控制医院感染的发生。
[Abstract]:Objective to explore the clinical characteristics of nosocomial infection in anesthesiology department and its preventive and control measures. Methods to provide scientific basis for early prevention and control of nosocomial infection in anesthesiology. The clinical data of 259 patients with nosocomial infection were analyzed retrospectively. To explore the clinical characteristics and risk factors of nosocomial infection in anesthesiology, and summarize the preventive and control measures. Results 72 cases of nosocomial infection occurred in 1 259 patients undergoing anesthesia operation, the infection rate was 5.72%. The highest infection rate was malignant tumor in 29 cases (40.28%), digestive system disease in 22 cases (30.56%) and circulatory system disease in 15 cases (20.83%). The nosocomial infection was mainly respiratory tract infection in 25 cases (34.72%), operative site infection in 19 cases (26.39) and urinary tract infection in 11 cases (15.27%). Age, underlying diseases, consciousness disorders, invasive operations, prophylactic use of antimicrobial agents, surgical incision classification, and surgical timing. Conclusion according to the risk factors of nosocomial infection in anesthesiology, comprehensive intervention can effectively prevent and control nosocomial infection.
【作者单位】：诸暨市人民医院麻醉科;绍兴市人民医院麻醉科;浙江大学附属第一医院普外科;
【基金】：浙江省医药卫生科技基金资助项目(2011QDF238)
【分类号】：R197.323
【正文快照】： 麻醉科为医院的重要临床科室之一,担负着整个医院择期手术患者和急危重症患者的抢救任务。其工作场所位于手术室内,且在工作中存在大量的有创操作,因此麻醉科医院感染的控制不容忽视[1]。麻醉科的清洗、灭菌和消毒工作的管理在很大程度上影响了医院感染的发生,直接影响了手术

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