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目的:通过调查耳鼻咽喉科住院患者医院感染危险因素,提出有效的干预措施,降低院内感染发生率。方法:成立感染控制小组,对浙江省台州医院耳鼻咽喉科2015年1~11月收治的630例住院患者的临床资料进行医院感染调查,分析医院感染危险因素,提出有效的干预措施。结果:耳鼻咽喉科医院感染发生率为22.06%;感染发生部位以手术切口为主,为63人,其次为术腔42人、下呼吸道感染16人、上呼吸道感染10人;检出病原菌中,主要病原体为铜绿假单胞菌、表皮葡萄球菌、大肠埃希菌。危险因素的调查显示,患者>60岁、使用免疫抑制剂、≥两种并发症、住院时间>50天、伴皮肤或黏膜溃烂时,医院感染发生率明显上升(P<0.05)。结论:耳鼻咽喉科住院患者存在医院感染发生的危险,医院管理者应加强监督,加强侵入性操作的管理,降低医院感染的发生,为患者提供安全的医护服务。
Objective: To investigate the risk factors of nosocomial infection in otolaryngology inpatients and to propose effective interventions to reduce the incidence of nosocomial infections. Methods: Infection control group was set up to investigate the nosocomial infection in 630 inpatients admitted to otolaryngology department of Taizhou Hospital of Zhejiang Province from January to November, 2015. The risk factors of nosocomial infection were analyzed and effective intervention measures were put forward. Results: The prevalence rate of otolaryngology hospital was 22.06%. Incidence of infection was mainly in surgical incision, which was 63, followed by 42 patients in operation, 16 in lower respiratory tract infection and 10 in upper respiratory tract infection. Among pathogenic bacteria, The main pathogens are Pseudomonas aeruginosa, Staphylococcus epidermidis and Escherichia coli. Risk factors for the survey showed that the incidence of nosocomial infections was significantly higher in patients with> 60 years of age, with immunosuppressive agents, ≥ 2 complications, length of stay> 50 days, and skin or mucosal ulceration (P <0.05). Conclusions: Inpatients with Otolaryngology are at risk of nosocomial infection. Hospital administrators should strengthen supervision and management of invasive procedures to reduce the incidence of nosocomial infections and provide patients with safe healthcare services.