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目的分析综合性医院骨科医院感染状况及危险因素,为预防和控制医院感染提供理论依据。方法利用医院感染实时监控系统提取2013年1月-2014年12月骨科住院患者17 561例患者进行回顾性分析,其中感染221例,分析其感染因素,数据采用SPSS 13.0软件进行统计分析。结果 17 561例患者中,有221例患者发生感染,感染率为1.26%;发生感染258例次中,感染部位以下呼吸道为主,共71例次占27.52%;logistic回归分析显示,年龄、住院天数及使用中心静脉插管是骨科医院发生感染的独立危险因素(P<0.05),性别为保护性因素。结论骨科医院感染危险因素较多,应积极治疗基础疾病、缩短住院时间、手术时间和术前住院时间、减少侵入性操作及改善环境等,加强预防和控制,以降低医院感染率,提高医疗质量。
Objective To analyze the status and risk factors of infection in orthopedic hospital in general hospital and provide a theoretical basis for prevention and control of nosocomial infection. Methods A total of 17 561 orthopedic inpatients from January 2013 to December 2014 were retrospectively analyzed using the real-time monitoring system of nosocomial infection. 221 cases were infected and their infection factors were analyzed. The data were analyzed by SPSS 13.0 software. Results Of the 17 561 patients, 221 cases were infected with the infection rate of 1.26%. Of the 258 cases with infection, the majority of the respiratory tract was located below the infection site, accounting for 27.52% of all cases. Logistic regression analysis showed that age, hospitalization The number of days and the use of central venous catheterization were independent risk factors for infection in orthopedic hospitals (P <0.05). Gender was a protective factor. Conclusion There are many risk factors for orthopedic hospital infection, which should be actively treated for basic diseases, shorter hospital stay, operation time and preoperative hospitalization time, less invasive operation and better environment, so as to reduce prevention and control of infection and reduce hospital infection rate and improve medical quality .