骨科手术患者医院感染121例的相关危险因素分析与对策

发布时间：2018-06-02 11:51

本文选题：骨科 + 医院感染　；参考：《广东医学》2017年03期

【摘要】：目的探讨骨科手术患者医院感染的主要相关因素,为临床预防医院感染提供依据。方法对我院2013年1月至2016年1月骨科手术患者进行前瞻性监测及回顾性调查分析。结果 4 286例骨科手术患者中有121例发生医院感染,感染率为2.82%;感染部位主要是手术切口感染(占50.41%)、下呼吸道感染(占17.36%)、皮肤软组织感染(占14.05%);检出病原菌132株,以金黄色葡萄球菌为主(占28.10%),其中耐甲氧西林金黄色葡萄球菌2株(占1.65%),其次为大肠埃希菌、阴沟肠杆菌、肺炎克雷伯菌,分别占20.66%、13.22%及10.74%。医院感染的危险因素为年龄、基础病史、手术性质、切口类型、侵入性操作、手术及住院时间等,均有统计学意义(P0.05)。结论骨科手术患者医院感染主要以手术切口感染多见,与多种因素有关,应针对其危险因素,采取科学的预防控制措施,重视各环节质量监测,有效降低医院感染的发生。
[Abstract]:Objective to explore the main related factors of nosocomial infection in orthopedic patients and to provide evidence for clinical prevention of nosocomial infection. Methods from January 2013 to January 2016, the patients undergoing orthopaedic surgery in our hospital were prospectively monitored and analyzed retrospectively. Results among 4 286 cases of orthopedic surgery, 121 cases had nosocomial infection, the infection rate was 2.822.The infection site was mainly surgical incision infection (50.41%), lower respiratory tract infection (17.36%), skin and soft tissue infection (14.05%), and 132 strains of pathogenic bacteria were detected. Staphylococcus aureus accounted for 28.1010% of which 2 strains were methicillin-resistant Staphylococcus aureus (1.65%) followed by Escherichia coli Enterobacter cloacae Klebsiella pneumoniae accounting for 20.6666 13.22% and 10.74% respectively. The risk factors of nosocomial infection were age, basic history, surgical nature, incision type, invasive operation, operation and hospitalization time. Conclusion the nosocomial infection of orthopedic surgery patients is mainly caused by surgical incision infection, which is related to many factors. Scientific prevention and control measures should be taken to prevent and control the nosocomial infection in order to reduce the incidence of nosocomial infection effectively.
【作者单位】：南昌大学第二附属医院医院感染管理科;南昌大学第二附属医院骨科;
【基金】：江西省卫生计生委中医药科技基金资助项目(编号:2015A016)
【分类号】：R687;R197.323

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