麻醉科患者医院感染的危险因素分析及预防措施

发布时间：2018-05-21 14:48

本文选题：麻醉科 + 医院感染　；参考：《中华医院感染学杂志》2017年11期

【摘要】：目的探讨麻醉科患者医院感染的危险因素以及相应的预防治疗策略,以期为临床早期预防控制提供一定数据支持。方法对2015年12月-2016年12月在医院行麻醉手术1 492例患者临床资料进行回顾性分析,探讨医院麻醉科患者发生医院感染的临床特征及相关因素,并分析研究预防策略。结果 1 492例麻醉科患者中,87例发生医院感染,感染率为5.83%;其中感染发生的主要部位为呼吸道感染,其次为手术部位和泌尿道感染;恶性肿瘤患者感染率最高,其次为消化系统疾病和循环系统疾病;经单因素分析,患者年龄≥60岁、合并基础疾病、侵入性操作、意识障碍、手术类型、手术时间、手术切口是麻醉科患者发生医院感染的相关因素,经logistic回归分析表明,患者的年龄、合并疾病、侵入性操作、意识障碍、手术类型、手术时间、手术切口分型均是麻醉科患者发生医院感染的独立危险因素。结论麻醉科患者医院感染率较高,临床须加强对麻醉科患者相关危险因素的管理,以减少医院感染的发生率。
[Abstract]:Objective to explore the risk factors of nosocomial infection in anesthesiological patients and the corresponding preventive and therapeutic strategies in order to provide data support for early clinical prevention and control. Methods the clinical data of 1 492 patients undergoing anaesthesia operation from December 2015 to December 2016 were retrospectively analyzed. The clinical characteristics and related factors of nosocomial infection in hospital anesthesiology patients were discussed and the preventive strategies were analyzed. Results nosocomial infection occurred in 87 out of 1 492 patients in anesthesiology, the infection rate was 5.833.Respiratory tract infection was the main site of infection, followed by surgical site and urinary tract infection, and the infection rate of malignant tumor patients was the highest. The second was digestive system disease and circulatory system disease, the age of the patients was more than 60 years old by univariate analysis, the patients were complicated with basic diseases, invasive operation, disturbance of consciousness, type of operation, time of operation, Surgical incision is the related factor of nosocomial infection in anesthesiological patients. Logistic regression analysis showed that age, complicated disease, invasive operation, disturbance of consciousness, type of operation, time of operation, Surgical incision classification is an independent risk factor for nosocomial infection in anesthesiological patients. Conclusion the nosocomial infection rate of anesthesiology patients is high, so it is necessary to strengthen the management of related risk factors in anesthesiology in order to reduce the incidence of nosocomial infection.
【作者单位】：上海市第八人民医院麻醉科;上海市浦东新区公利医院骨科;
【基金】：上海市卫生和计划生育委员会科研基金项目(201640173)
【分类号】：R197.323

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