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目的了解妇科肿瘤患者术后医院感染的相关危险因素,为制定预防措施提供科学依据。方法对2010年1月~2012年12月医院妇科收治的306例肿瘤患者,手术后发生医院感染情况进行回顾性调查分析。结果 306例肿瘤患者术后发生医院感染22例,感染率为7.19%,感染部位以泌尿系为主,占54.55%,其次为呼吸道和手术切口,分别占22.7%和13.64%。应用抗菌药物等等,是导致妇科抗肿瘤患者的相关危险因素(≤0.05)。结论妇科肿瘤患者术后感染是多因素结合作用的结果,其发生率较高,应根据相应的情况制定相应的措施,缩短手术暴露时间,强化医护人员无菌观念,严格无菌操作,加强手术室环境与器械的管理,做好消毒隔离无菌工作,保持病室清洁,空气流通,减少侵入性操作,合理应用抗生素,控制基础疾病等,可预防与控制医院感染的发生。
Objective To understand the related risk factors of nosocomial infection in gynecologic oncology patients and provide a scientific basis for the development of preventive measures. Methods From January 2010 to December 2012, 306 cases of cancer patients admitted to the hospital were retrospectively analyzed. Results Totally, 306 patients with nosocomial infection were hospitalized with nosocomial infection in 22 cases. The infection rate was 7.19%. The main infection area was urinary system (54.55%), followed by respiratory tract and surgical incision, accounting for 22.7% and 13.64% respectively. Application of antimicrobial drugs, etc., is the leading risk factor for gynecological anti-tumor patients (≤0.05). Conclusion The postoperative infection of gynecologic oncology patients is the result of multi-factor combination, and its incidence is relatively high. Corresponding measures should be taken according to the corresponding situation to shorten the time of surgical exposure, strengthen the sterile concept of medical staff, strictly sterilize the operation and strengthen the operation Room environment and equipment management, good disinfection aseptic work, keep the ward clean, air circulation, reduce invasive operation, rational use of antibiotics, control of underlying diseases, etc., can prevent and control the occurrence of nosocomial infections.