追踪方法对骨科住院患者医院感染的影响研究

发布时间：2018-03-25 23:52

本文选题：追踪方法　切入点：骨科　出处：《中华医院感染学杂志》2017年02期

【摘要】：目的探究追踪方法对骨科住院患者医院感染的影响,为后期临床治疗提供参考。方法选取2012年3月-2015年4月医院收治的631例骨科住院患者为研究对象,将其分为对照组311例(2012年3月-2013年3月)和观察组320例(2013年4月-2015年4月),对照组给予常规医院感染管理,观察组采用追踪方法医院感染管理,对比两组患者的感染率、病原菌类型、医院感染管理质量得分。结果观察组320例患者中13例患者发生医院感染,感染率为4.06%,对照组311例患者中41例患者发生医院感染,感染率为13.18%,对照组患者的医院感染率显著高于观察组,差异有统计学意义(P0.05);两组患者常见的感染部位均为皮肤和呼吸道;观察组13例医院感染患者共分离出病原菌22株,对照组41例医院感染患者共分离出病原菌69株,两组患者的常见感染病原菌均为大肠埃希菌和粪肠球菌;观察组各项医院感染管理质量得分均显著高于对照组,差异有统计学意义(P0.05)。结论采用追踪方法进行医院感染管理,能够显著降低骨科住院患者的医院感染率,提高医院感染管理质量,可以在临床上进一步推广和使用。
[Abstract]:Objective to explore the effect of tracing method on nosocomial infection of orthopedic inpatients, and to provide reference for later clinical treatment. Methods 631 orthopedic inpatients admitted in our hospital from March 2012 to April 2015 were selected as study objects. It was divided into control group (311 cases) (March 2012-March 2013) and observation group (320 cases) (April 2013-April 2015). The control group was administered with routine nosocomial infection management. Results the nosocomial infection occurred in 13 out of 320 patients in the observation group, and the infection rate was 4.06 in the control group, 41 out of 311 patients in the control group developed nosocomial infection. The infection rate was 13.18. The nosocomial infection rate in the control group was significantly higher than that in the observation group, and the difference was statistically significant (P 0.05). The common sites of infection in both groups were skin and respiratory tract. 22 strains of pathogenic bacteria were isolated from 13 patients with nosocomial infection in the observation group. 69 strains of pathogenic bacteria were isolated from 41 patients with nosocomial infection in the control group. The common pathogens in both groups were Escherichia coli and Enterococcus faecalis, and the scores of management quality of nosocomial infection in the observation group were significantly higher than those in the control group. Conclusion the management of nosocomial infection with tracing method can significantly reduce the nosocomial infection rate of orthopedic inpatients, improve the quality of nosocomial infection management, and can be further popularized and used in clinic.
【作者单位】：滨州市人民医院骨外四科;
【分类号】：R68;R197.323

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